Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.67 / $604.67 / $1,142.94	Facility		$604.67	$604.67	$1,142.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $604.67 / $1,163.54	Professional		$508.96	$604.67	$1,163.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.08 / $507.08 / $633.84	Professional		$507.08	$507.08	$633.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $508.96 / $814.30	Professional		$150.00	$508.96	$814.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $548.86 / $723.32	Facility		$210.00	$548.86	$723.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.28 / $519.52 / $737.48	Professional		$416.28	$519.52	$737.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $532.91 / $737.48 / $995.25	Facility		$532.91	$737.48	$995.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $566.04 / $931.73	Professional		$346.40	$566.04	$931.73
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $539.96	Professional		$508.96	$508.96	$539.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $519.52 / $519.52 / $519.52	Facility		$519.52	$519.52	$519.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $519.52 / $519.52 / $519.52	Professional		$519.52	$519.52	$519.52