Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.96 / $587.96 / $960.32	Facility		$587.96	$587.96	$960.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $587.96 / $833.00	Professional		$432.02	$587.96	$833.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.76 / $475.97 / $572.20	Professional		$457.76	$475.97	$572.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $432.02 / $581.00	Professional		$150.00	$432.02	$581.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $473.55 / $587.96	Facility		$77.00	$473.55	$587.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $436.51 / $557.39	Professional		$144.97	$436.51	$557.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $591.95 / $938.28	Facility		$77.00	$591.95	$938.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $454.34 / $591.94	Professional		$69.34	$454.34	$591.94
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $444.98	Professional		$432.02	$432.02	$444.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $436.51 / $436.51 / $436.51	Facility		$436.51	$436.51	$436.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.51 / $436.51 / $436.51	Professional		$436.51	$436.51	$436.51