Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.58 / $381.58 / $727.33	Facility		$381.58	$381.58	$727.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.10 / $381.58	Professional		$329.05	$329.10	$381.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.25 / $335.25 / $335.25	Facility		$335.25	$335.25	$335.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.86 / $328.59 / $406.08	Professional		$324.86	$328.59	$406.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $329.05 / $610.53	Professional		$232.76	$329.05	$610.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.10 / $373.40 / $491.03	Facility		$329.10	$373.40	$491.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.10 / $329.10 / $413.41	Professional		$329.10	$329.10	$413.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $382.62 / $477.02 / $747.32	Facility		$382.62	$477.02	$747.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $362.53 / $382.62 / $477.01	Professional		$362.53	$382.62	$477.01
United Facility/Professional Professional Modifier Low / Median / High Price $289.56 / $329.05 / $335.63	Professional		$289.56	$329.05	$335.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $329.10 / $329.10 / $329.10	Facility		$329.10	$329.10	$329.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.10 / $329.10 / $329.10	Professional		$329.10	$329.10	$329.10