Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $316.23	Professional		$173.78	$269.15	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $478.63	Professional		$389.05	$389.05	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $537.03	Professional		$331.13	$380.19	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $416.87 / $1,548.82	Facility		$309.03	$416.87	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $575.44	Professional		$165.96	$363.08	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $457.09	Professional		$363.08	$426.58	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $575.44	Professional		$165.96	$275.42	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13