Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.00 / $481.02 / $814.14	Facility		$372.00	$481.02	$814.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.30 / $255.53 / $330.37	Professional		$237.30	$255.53	$330.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.34 / $406.88 / $508.59	Professional		$398.34	$406.88	$508.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.61 / $636.61 / $636.61	Professional		$636.61	$636.61	$636.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.68 / $631.09 / $1,646.70	Facility		$320.68	$631.09	$1,646.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.87 / $305.27 / $630.40	Professional		$244.87	$305.27	$630.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.78 / $398.34 / $631.09	Facility		$341.78	$398.34	$631.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $334.43 / $446.94 / $686.82	Professional		$334.43	$446.94	$686.82
United Facility/Professional Professional Modifier Low / Median / High Price $229.30 / $288.05 / $406.27	Professional		$229.30	$288.05	$406.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $465.00 / $465.00 / $465.00	Facility		$465.00	$465.00	$465.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $465.00 / $465.00	Professional		$465.00	$465.00	$465.00