Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Professional		$575.44	$575.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $831.76	Professional		$660.69	$831.76	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,621.81	Facility		$724.44	$891.25	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,318.26	Professional		$676.08	$676.08	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,412.54	Professional		$724.44	$891.25	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $977.24	Professional		$724.44	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Professional		$676.08	$676.08	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $602.56	Professional		$478.63	$602.56	$602.56