Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $213.57 / $253.11	Professional		$182.08	$213.57	$253.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $381.86 / $604.29	Professional		$216.38	$381.86	$604.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $321.30 / $394.10	Professional		$150.00	$321.30	$394.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.57 / $330.86 / $604.29	Facility		$213.57	$330.86	$604.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $1,351.44	Professional		$254.57	$254.57	$1,351.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.02 / $381.86 / $604.29	Facility		$319.02	$381.86	$604.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $319.02 / $381.86 / $604.29	Professional		$319.02	$381.86	$604.29
United Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $331.20	Professional		$254.57	$254.57	$331.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $552.50 / $552.50 / $552.50	Facility		$552.50	$552.50	$552.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.48 / $552.50 / $552.50	Professional		$436.48	$552.50	$552.50