Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.54 / $231.54 / $231.54	Facility		$231.54	$231.54	$231.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $247.33 / $317.18	Professional		$125.10	$247.33	$317.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.25 / $386.25 / $482.81	Professional		$386.25	$386.25	$482.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.22 / $333.24 / $554.55	Professional		$331.22	$333.24	$554.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.10 / $428.19 / $1,559.56	Facility		$311.10	$428.19	$1,559.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $342.91 / $557.59	Professional		$170.40	$342.91	$557.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $365.49 / $371.73 / $458.04	Facility		$365.49	$371.73	$458.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $416.75 / $700.50	Professional		$295.27	$416.75	$700.50
United Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $277.08 / $472.33	Professional		$166.25	$277.08	$472.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $333.24 / $333.24 / $333.24	Facility		$333.24	$333.24	$333.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $333.24 / $333.24	Professional		$333.24	$333.24	$333.24