Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $436.52 / $794.33	Facility		$234.42	$436.52	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $251.19	Professional		$190.55	$223.87	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $346.74 / $426.58	Professional		$338.84	$346.74	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $549.54 / $1,380.38	Facility		$269.15	$549.54	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $602.56	Professional		$190.55	$269.15	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $549.54	Professional		$346.74	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $537.03	Facility		$275.42	$275.42	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $354.81	Professional		$190.55	$239.88	$354.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05