Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,096.48	Facility		$295.12	$295.12	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $363.08	Professional		$295.12	$302.00	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $446.68 / $1,071.52	Professional		$38.90	$446.68	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,230.27 / $1,230.27	Professional		$151.36	$1,230.27	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $363.08 / $870.96	Facility		$177.83	$363.08	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $831.76	Professional		$302.00	$302.00	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $676.08 / $1,071.52	Professional		$44.67	$676.08	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $741.31 / $741.31	Professional		$44.67	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Professional		$302.00	$302.00	$363.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $177.83	Professional		$141.25	$177.83	$177.83