Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.57 / $271.57 / $650.24	Facility		$271.57	$271.57	$650.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.62 / $303.00 / $835.00	Professional		$238.62	$303.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $272.67 / $328.59	Professional		$262.88	$272.67	$328.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $322.49 / $466.96	Professional		$257.99	$322.49	$466.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.23 / $309.58 / $438.54	Facility		$248.23	$309.58	$438.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.10 / $291.52 / $363.03	Professional		$237.10	$291.52	$363.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $309.58 / $386.98	Facility		$214.62	$309.58	$386.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $305.77 / $404.53	Professional		$175.87	$305.77	$404.53
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $291.52 / $304.43	Professional		$257.99	$291.52	$304.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Facility		$257.99	$257.99	$257.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Professional		$257.99	$257.99	$257.99