Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.07 / $384.07 / $842.96	Facility		$384.07	$384.07	$842.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $384.07 / $906.91	Professional		$381.36	$384.07	$906.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.54 / $388.54 / $388.54	Facility		$388.54	$388.54	$388.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.41 / $381.41 / $476.77	Professional		$381.41	$381.41	$476.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $381.36 / $821.63	Professional		$275.42	$381.36	$821.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $384.07 / $576.51	Facility		$380.18	$384.07	$576.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $380.18 / $561.03	Professional		$380.18	$380.18	$561.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $426.38 / $561.03 / $771.56	Facility		$426.38	$561.03	$771.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $410.62 / $447.11 / $718.94	Professional		$410.62	$447.11	$718.94
United Facility/Professional Facility Modifier Low / Median / High Price $617.69 / $617.69 / $617.69	Facility		$617.69	$617.69	$617.69
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $392.80	Professional		$381.36	$381.36	$392.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $380.18 / $380.18	Facility		$380.18	$380.18	$380.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $380.18 / $380.18	Professional		$380.18	$380.18	$380.18