Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.08 / $543.08 / $559.37	Facility		$543.08	$543.08	$559.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $543.08 / $869.32	Professional		$461.62	$543.08	$869.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.78 / $488.78 / $610.97	Professional		$488.78	$488.78	$610.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.23 / $958.90	Professional		$12.97	$22.23	$958.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $347.32 / $780.14	Facility		$213.00	$347.32	$780.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.38 / $511.40 / $552.35	Professional		$314.38	$511.40	$552.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $314.38 / $559.19 / $1,007.41	Facility		$314.38	$559.19	$1,007.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.07 / $379.24 / $666.60	Professional		$217.07	$379.24	$666.60
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $511.40 / $543.08	Professional		$452.57	$511.40	$543.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $452.57 / $452.57 / $452.57	Facility		$452.57	$452.57	$452.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $452.57 / $452.57	Professional		$452.57	$452.57	$452.57