Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.60 / $612.60 / $1,354.09	Facility		$612.60	$612.60	$1,354.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $490.08 / $612.60	Professional		$490.08	$490.08	$612.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Facility		$510.50	$510.50	$510.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.49 / $539.54 / $638.11	Professional		$510.49	$539.54	$638.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $614.40 / $627.36	Professional		$150.00	$614.40	$627.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $539.69 / $613.11	Facility		$1.00	$539.69	$613.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $525.82	Professional		$510.50	$510.50	$525.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $613.11 / $890.21 / $1,300.24	Facility		$613.11	$890.21	$1,300.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $613.11 / $613.11 / $613.11	Professional		$613.11	$613.11	$613.11
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $525.82	Professional		$510.50	$510.50	$525.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Facility		$510.50	$510.50	$510.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Professional		$510.50	$510.50	$510.50