Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.12 / $322.12 / $322.12	Facility		$322.12	$322.12	$322.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.03 / $344.07 / $441.26	Professional		$174.03	$344.07	$441.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.38 / $537.38 / $671.72	Professional		$537.38	$537.38	$671.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.07 / $463.60 / $641.75	Professional		$417.07	$463.60	$641.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.57 / $595.70 / $2,169.65	Facility		$432.57	$595.70	$2,169.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.06 / $477.05 / $775.70	Professional		$237.06	$477.05	$775.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $508.47 / $517.13 / $637.23	Facility		$508.47	$517.13	$637.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $410.78 / $579.67 / $974.52	Professional		$410.78	$579.67	$974.52
United Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $385.47 / $599.79	Professional		$231.28	$385.47	$599.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $463.60 / $463.60 / $463.60	Facility		$463.60	$463.60	$463.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $463.60 / $463.60 / $463.60	Professional		$463.60	$463.60	$463.60