Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $274.89 / $394.18	Facility		$274.89	$274.89	$394.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $320.00 / $929.55	Professional		$250.00	$320.00	$929.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $266.06 / $332.58	Professional		$266.06	$266.06	$332.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $364.72 / $472.68	Professional		$287.27	$364.72	$472.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $313.38 / $402.16	Facility		$274.89	$313.38	$402.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $270.45 / $329.63	Professional		$229.20	$270.45	$329.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.43 / $313.38 / $380.34	Facility		$295.43	$313.38	$380.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $289.06 / $313.38 / $380.34	Professional		$289.06	$313.38	$380.34
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $271.89 / $288.60	Professional		$240.62	$271.89	$288.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $261.14	Facility		$261.14	$261.14	$261.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $261.14 / $261.14	Professional		$261.14	$261.14	$261.14