Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $831.76	Facility		$416.87	$588.84	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $707.95	Professional		$416.87	$457.09	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $537.03	Professional		$426.58	$478.63	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $436.52 / $575.44	Professional		$151.36	$436.52	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $436.52 / $691.83	Facility		$77.62	$436.52	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $436.52 / $562.34	Professional		$117.49	$436.52	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $537.03	Professional		$512.86	$512.86	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $446.68	Professional		$416.87	$416.87	$446.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52