Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.26 / $452.26 / $866.61	Facility		$452.26	$452.26	$866.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $452.26 / $853.12	Professional		$392.06	$452.26	$853.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.11 / $390.11 / $487.64	Professional		$390.11	$390.11	$487.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $392.06 / $406.70	Professional		$150.00	$392.06	$406.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.00 / $426.98 / $502.02	Facility		$124.00	$426.98	$502.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $390.74 / $574.37	Professional		$189.68	$390.74	$574.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $363.79 / $574.37 / $781.52	Facility		$363.79	$574.37	$781.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $436.52 / $639.66	Professional		$153.40	$436.52	$639.66
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $403.82	Professional		$392.06	$392.06	$403.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $390.74 / $390.74 / $390.74	Facility		$390.74	$390.74	$390.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $390.74 / $390.74 / $390.74	Professional		$390.74	$390.74	$390.74