Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $600.00 / $651.38	Facility		$293.31	$600.00	$651.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $294.69 / $600.00	Professional		$187.93	$294.69	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.69 / $289.69 / $362.11	Professional		$289.69	$289.69	$362.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $294.69 / $356.71	Professional		$74.93	$294.69	$356.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $194.32 / $600.00	Facility		$8.00	$194.32	$600.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $194.32 / $241.69	Professional		$77.73	$194.32	$241.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $274.55 / $366.06	Facility		$79.81	$274.55	$366.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $152.57 / $274.55	Professional		$15.02	$152.57	$274.55
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $300.58	Professional		$294.69	$294.69	$300.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $194.32 / $194.32	Facility		$194.32	$194.32	$194.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $194.32 / $194.32	Professional		$194.32	$194.32	$194.32