Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $707.95	Facility		$199.53	$489.78	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $489.78	Professional		$169.82	$229.09	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $616.60	Professional		$331.13	$489.78	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $691.83	Professional		$257.04	$467.74	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $812.83	Facility		$257.04	$363.08	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $1,445.44	Professional		$154.88	$331.13	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $331.13	Professional		$309.03	$309.03	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $588.84	Facility		$257.04	$257.04	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $707.95	Professional		$154.88	$158.49	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04