Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $741.31	Facility		$199.53	$489.78	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $398.11	Professional		$169.82	$223.87	$398.11
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 $218.78 / $426.58 / $524.81	Professional		$218.78	$426.58	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $331.13 / $724.44	Facility		$257.04	$331.13	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $316.23 / $1,318.26	Professional		$154.88	$316.23	$1,318.26
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