Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.89 / $281.89 / $281.89	Facility		$281.89	$281.89	$281.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $301.12 / $386.17	Professional		$152.30	$301.12	$386.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.25 / $470.25 / $587.80	Professional		$470.25	$470.25	$587.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $405.72 / $581.00	Professional		$399.50	$405.72	$581.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $378.57 / $521.33 / $1,898.77	Facility		$378.57	$521.33	$1,898.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $417.46 / $678.85	Professional		$207.47	$417.46	$678.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $444.99 / $452.56 / $557.67	Facility		$444.99	$452.56	$557.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $506.53 / $852.85	Professional		$359.50	$506.53	$852.85
United Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $286.75 / $560.00	Professional		$202.41	$286.75	$560.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $405.72 / $405.72	Facility		$405.72	$405.72	$405.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $405.72 / $405.72	Professional		$405.72	$405.72	$405.72