Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.47 / $384.47 / $738.99	Facility		$384.47	$384.47	$738.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $319.11 / $384.47	Professional		$307.58	$319.11	$384.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $326.80 / $400.50	Professional		$320.39	$326.80	$400.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $726.56 / $851.06 / $957.69	Professional		$726.56	$851.06	$957.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $384.47 / $560.36	Facility		$307.58	$384.47	$560.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $1,460.99	Professional		$320.39	$320.39	$1,460.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $458.47 / $560.36 / $662.24	Facility		$458.47	$560.36	$662.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.74 / $384.74 / $384.74	Professional		$384.74	$384.74	$384.74
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $355.63	Professional		$320.39	$320.39	$355.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $253.08 / $320.36 / $320.36	Professional		$253.08	$320.36	$320.36