Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $562.34 / $891.25	Facility		$446.68	$562.34	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $562.34	Professional		$446.68	$478.63	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $630.96	Professional		$501.19	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $467.74 / $549.54	Professional		$151.36	$467.74	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $138.04 / $660.69	Facility		$4.27	$138.04	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $588.84	Professional		$204.17	$467.74	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $588.84	Professional		$147.91	$147.91	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.47 / $7.08	Facility		$0.47	$0.47	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Professional		$467.74	$467.74	$478.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27