Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.42 / $365.42 / $807.72	Facility		$365.42	$365.42	$807.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $365.42 / $828.44	Professional		$292.33	$365.42	$828.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.91 / $261.14 / $261.14	Professional		$208.91	$261.14	$261.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.79 / $150.00 / $442.02	Professional		$134.79	$150.00	$442.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.71 / $309.36 / $494.05	Facility		$168.71	$309.36	$494.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $298.30 / $489.38	Professional		$214.67	$298.30	$489.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $327.20 / $489.38	Facility		$256.83	$327.20	$489.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $309.79 / $583.00	Professional		$157.85	$309.79	$583.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $307.25	Professional		$298.30	$298.30	$307.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $298.30 / $298.30 / $298.30	Facility		$298.30	$298.30	$298.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $298.30	Professional		$298.30	$298.30	$298.30