Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $248.63 / $248.63	Facility		$248.63	$248.63	$248.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $248.63 / $600.00	Professional		$210.65	$248.63	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $190.13 / $237.66	Professional		$190.13	$190.13	$237.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $292.77 / $400.68	Professional		$150.00	$292.77	$400.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.11 / $248.63 / $357.16	Facility		$211.11	$248.63	$357.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $234.27 / $248.63	Professional		$207.32	$234.27	$248.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $156.88 / $215.83	Facility		$156.88	$156.88	$215.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $215.83 / $215.83 / $215.83	Professional		$215.83	$215.83	$215.83
United Facility/Professional Facility Modifier Low / Median / High Price $410.24 / $410.24 / $410.24	Facility		$410.24	$410.24	$410.24
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $234.27 / $248.63	Professional		$207.32	$234.27	$248.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $207.32 / $207.32 / $207.32	Facility		$207.32	$207.32	$207.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $207.32 / $207.32	Professional		$207.32	$207.32	$207.32