Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.98 / $368.98 / $492.76	Facility		$368.98	$368.98	$492.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.62 / $382.70 / $975.24	Professional		$255.62	$382.70	$975.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.63 / $287.63 / $359.53	Professional		$287.63	$287.63	$359.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $348.99 / $351.37	Professional		$150.00	$348.99	$351.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.53 / $368.98 / $530.03	Facility		$246.53	$368.98	$530.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.61 / $347.60 / $368.98	Professional		$307.61	$347.60	$368.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.45 / $217.45 / $318.85	Facility		$217.45	$217.45	$318.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.85 / $318.85 / $318.85	Professional		$318.85	$318.85	$318.85
United Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $371.87 / $394.76	Professional		$329.09	$371.87	$394.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $307.61 / $307.61 / $307.61	Facility		$307.61	$307.61	$307.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $307.61 / $307.61 / $307.61	Professional		$307.61	$307.61	$307.61