Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $630.96	Facility		$309.03	$363.08	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $524.81	Professional		$309.03	$331.13	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $398.11	Professional		$316.23	$316.23	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $562.34	Professional		$151.36	$302.00	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $457.09	Facility		$309.03	$316.23	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $436.52	Professional		$281.84	$309.03	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $380.19	Professional		$316.23	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $323.59	Professional		$295.12	$309.03	$323.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03