Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $549.54 / $707.95	Facility		$204.17	$549.54	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $562.34	Professional		$173.78	$229.09	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $630.96	Professional		$338.84	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $588.84	Professional		$223.87	$457.09	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $338.84 / $660.69	Facility		$263.03	$338.84	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $1,148.15	Professional		$158.49	$316.23	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $338.84	Professional		$316.23	$316.23	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $602.56	Facility		$263.03	$263.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $660.69	Professional		$158.49	$158.49	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03