Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.27 / $287.45 / $287.45	Facility		$260.27	$287.45	$287.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.96 / $284.23 / $335.52	Professional		$232.96	$284.23	$335.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.25 / $422.61 / $445.31	Professional		$356.25	$422.61	$445.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $155.03 / $181.19	Professional		$136.34	$155.03	$181.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.07 / $668.80 / $1,541.69	Facility		$337.07	$668.80	$1,541.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $531.83 / $736.30	Professional		$293.10	$531.83	$736.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $346.37 / $422.61 / $668.80	Facility		$346.37	$422.61	$668.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.37 / $349.02 / $668.80	Professional		$346.37	$349.02	$668.80
United Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $486.54 / $705.19	Professional		$293.10	$486.54	$705.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $222.30 / $222.30	Professional		$222.30	$222.30	$222.30