Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $500.85 / $1,094.00	Facility		$144.00	$500.85	$1,094.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $223.98 / $249.73	Professional		$169.92	$223.98	$249.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $467.40 / $584.26	Professional		$309.20	$467.40	$584.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $465.98 / $692.25	Professional		$257.45	$465.98	$692.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $397.77 / $807.11	Facility		$257.45	$397.77	$807.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $309.20 / $1,363.10	Professional		$154.47	$309.20	$1,363.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $308.94 / $524.50 / $807.11	Facility		$308.94	$524.50	$807.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $530.35 / $755.12	Professional		$309.20	$530.35	$755.12
United Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $623.59	Professional		$154.47	$154.47	$623.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $257.45	Professional		$257.45	$257.45	$257.45