Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.50 / $423.03 / $741.88	Facility		$232.50	$423.03	$741.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $224.72 / $290.57	Professional		$208.68	$224.72	$290.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $350.31 / $423.75	Professional		$339.00	$350.31	$423.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.55 / $780.55 / $780.55	Professional		$780.55	$780.55	$780.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $595.91 / $1,372.22	Facility		$267.23	$595.91	$1,372.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $254.40 / $554.37	Professional		$204.06	$254.40	$554.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.58 / $350.31 / $554.98	Facility		$300.58	$350.31	$554.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $294.10 / $393.04 / $604.00	Professional		$294.10	$393.04	$604.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.87 / $240.05 / $338.56	Professional		$170.87	$240.05	$338.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $387.00 / $387.00 / $387.00	Facility		$387.00	$387.00	$387.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $387.00 / $387.00	Professional		$387.00	$387.00	$387.00