Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.99 / $560.99 / $1,095.35	Facility		$560.99	$560.99	$1,095.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $560.99	Professional		$495.55	$495.55	$560.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.90 / $504.90 / $504.90	Facility		$504.90	$504.90	$504.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.54 / $493.54 / $616.91	Professional		$493.54	$493.54	$616.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.20 / $495.55 / $1,352.04	Professional		$342.20	$495.55	$1,352.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $560.99 / $745.98	Facility		$494.43	$560.99	$745.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $494.43 / $629.72	Professional		$494.43	$494.43	$629.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $581.28 / $726.60 / $1,138.33	Facility		$581.28	$726.60	$1,138.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $552.22 / $581.28 / $657.02	Professional		$552.22	$581.28	$657.02
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $510.42	Professional		$495.55	$495.55	$510.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $494.43 / $494.43	Facility		$494.43	$494.43	$494.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $494.43 / $494.43	Professional		$494.43	$494.43	$494.43