Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.30 / $333.19 / $333.19	Facility		$247.30	$333.19	$333.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $330.05 / $952.00	Professional		$241.08	$330.05	$952.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $277.30 / $337.50	Professional		$270.00	$277.30	$337.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $61.05 / $341.00	Professional		$36.15	$61.05	$341.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.11 / $333.19 / $507.21	Facility		$198.11	$333.19	$507.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $314.32 / $395.37	Professional		$198.11	$314.32	$395.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $305.18 / $630.32	Facility		$197.99	$305.18	$630.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $227.03 / $507.21	Professional		$147.00	$227.03	$507.21
United Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $326.76 / $346.40	Professional		$289.17	$326.76	$346.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $278.16 / $278.16 / $278.16	Facility		$278.16	$278.16	$278.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $278.16 / $278.16 / $278.16	Professional		$278.16	$278.16	$278.16