Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $387.57 / $594.50	Facility		$210.32	$387.57	$594.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $360.00 / $819.80	Professional		$280.12	$360.00	$819.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.83 / $318.83 / $398.53	Professional		$318.83	$318.83	$398.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.19 / $409.93 / $566.35	Professional		$344.19	$409.93	$566.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.08 / $340.74 / $652.35	Facility		$301.08	$340.74	$652.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $324.02 / $387.45	Professional		$274.60	$324.02	$387.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $340.74 / $375.48 / $447.05	Facility		$340.74	$375.48	$447.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $375.48 / $447.05	Professional		$339.76	$375.48	$447.05
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $310.30 / $334.54	Professional		$274.60	$310.30	$334.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $312.89 / $312.89	Facility		$312.89	$312.89	$312.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $312.89	Professional		$312.89	$312.89	$312.89