Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $616.60	Facility		$309.03	$380.19	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $380.19	Professional		$309.03	$323.59	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $398.11	Professional		$323.59	$323.59	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,023.29	Professional		$724.44	$912.01	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $537.03	Facility		$309.03	$380.19	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $1,445.44	Professional		$323.59	$323.59	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.32	Facility		$0.32	$0.32	$0.32
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $331.13	Professional		$323.59	$323.59	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $323.59	Professional		$251.19	$323.59	$323.59