Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.10 / $296.10 / $353.50	Facility		$296.10	$296.10	$353.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $268.56 / $408.90	Professional		$217.15	$268.56	$408.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $592.28 / $1,875.07	Professional		$61.57	$592.28	$1,875.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $72.68 / $85.50	Professional		$47.00	$72.68	$85.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $152.18 / $5,280.00	Facility		$48.77	$152.18	$5,280.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $32.32 / $702.71	Professional		$24.24	$32.32	$702.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $58.12 / $134.24	Facility		$56.79	$58.12	$134.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $73.93 / $134.24	Professional		$56.79	$73.93	$134.24
United Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $25.05 / $161.06	Professional		$24.24	$25.05	$161.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $555.02 / $555.02 / $555.02	Facility		$555.02	$555.02	$555.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $438.47 / $555.02 / $555.02	Professional		$438.47	$555.02	$555.02