Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.19 / $808.68 / $1,087.77	Facility		$512.19	$808.68	$1,087.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.68 / $292.68 / $292.68	Professional		$292.68	$292.68	$292.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $310.97 / $1,065.77	Professional		$39.04	$310.97	$1,065.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,235.20 / $1,235.20	Professional		$150.00	$1,235.20	$1,235.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.12 / $382.68 / $673.46	Facility		$179.12	$382.68	$673.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $673.46	Professional		$304.88	$304.88	$673.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.68 / $445.86 / $834.89	Facility		$268.68	$445.86	$834.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $571.11 / $914.36	Professional		$44.36	$571.11	$914.36
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $335.37	Professional		$304.88	$304.88	$335.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $179.12 / $179.12 / $179.12	Facility		$179.12	$179.12	$179.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $179.12 / $179.12	Professional		$141.50	$179.12	$179.12