Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.27 / $420.27 / $793.95	Facility		$420.27	$420.27	$793.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $420.27 / $827.61	Professional		$359.19	$420.27	$827.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.96 / $365.96 / $365.96	Facility		$365.96	$365.96	$365.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.21 / $359.21 / $449.02	Professional		$359.21	$359.21	$449.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.79 / $359.19 / $562.19	Professional		$263.79	$359.19	$562.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $416.52 / $542.95	Facility		$359.09	$416.52	$542.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.09 / $359.09 / $520.65	Professional		$359.09	$359.09	$520.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.52 / $520.65 / $815.69	Facility		$416.52	$520.65	$815.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.70 / $424.20 / $520.65	Professional		$395.70	$424.20	$520.65
United Facility/Professional Professional Modifier Low / Median / High Price $347.10 / $359.19 / $369.97	Professional		$347.10	$359.19	$369.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $359.09 / $359.09	Facility		$359.09	$359.09	$359.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $359.09 / $359.09 / $359.09	Professional		$359.09	$359.09	$359.09