Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.21 / $559.21 / $1,236.08	Facility		$559.21	$559.21	$1,236.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.37 / $559.21 / $1,200.06	Professional		$447.37	$559.21	$1,200.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $629.11	Professional		$503.29	$503.29	$629.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.99 / $305.94 / $549.12	Professional		$187.99	$305.94	$549.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $148.19 / $666.86	Facility		$4.26	$148.19	$666.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.05 / $466.01 / $581.28	Professional		$206.05	$466.01	$581.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $399.63 / $963.24	Facility		$6.39	$399.63	$963.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $445.46 / $666.86	Professional		$143.09	$445.46	$666.86
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $512.61	Professional		$466.01	$466.01	$512.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $466.01 / $466.01 / $466.01	Facility		$466.01	$466.01	$466.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $466.01	Professional		$466.01	$466.01	$466.01