Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.00 / $779.00 / $1,310.77	Facility		$779.00	$779.00	$1,310.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $658.82 / $968.41	Professional		$593.00	$658.82	$968.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.61 / $586.61 / $733.27	Professional		$586.61	$586.61	$733.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $569.00 / $593.00	Professional		$158.90	$569.00	$593.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $629.80 / $779.00	Facility		$192.00	$629.80	$779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.36 / $577.04 / $858.10	Professional		$471.36	$577.04	$858.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $506.45 / $858.10 / $1,215.08	Facility		$506.45	$858.10	$1,215.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.24 / $652.16 / $1,170.66	Professional		$329.24	$652.16	$1,170.66
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $629.11	Professional		$593.00	$593.00	$629.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $577.04 / $577.04 / $577.04	Facility		$577.04	$577.04	$577.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $577.04 / $577.04	Professional		$577.04	$577.04	$577.04