Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.47 / $925.12 / $1,082.18	Facility		$742.47	$925.12	$1,082.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $527.54 / $925.12	Professional		$474.84	$527.54	$925.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.53 / $480.53 / $600.66	Professional		$480.53	$480.53	$600.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $668.87 / $1,425.45	Professional		$474.84	$668.87	$1,425.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $491.90 / $925.12	Facility		$230.00	$491.90	$925.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.82 / $541.09 / $821.33	Professional		$288.82	$541.09	$821.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $335.23 / $682.42 / $962.58	Facility		$335.23	$682.42	$962.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $545.00 / $721.94	Professional		$230.00	$545.00	$721.94
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $489.09 / $565.05	Professional		$474.84	$489.09	$565.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $491.90 / $491.90 / $491.90	Facility		$491.90	$491.90	$491.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $491.90 / $491.90 / $491.90	Professional		$491.90	$491.90	$491.90