Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.92 / $325.92 / $720.41	Facility		$325.92	$325.92	$720.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $260.74 / $325.92	Professional		$260.74	$260.74	$325.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.60 / $271.60 / $271.60	Facility		$271.60	$271.60	$271.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.70 / $270.56 / $329.63	Professional		$263.70	$270.56	$329.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $250.36 / $255.64	Professional		$150.00	$250.36	$255.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $325.92 / $440.65	Facility		$1.00	$325.92	$440.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $279.75	Professional		$271.60	$271.60	$279.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $307.45	Facility		$0.90	$1.00	$307.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $307.45 / $307.45 / $307.45	Professional		$307.45	$307.45	$307.45
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $298.76	Professional		$271.60	$271.60	$298.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $271.60 / $271.60 / $271.60	Facility		$271.60	$271.60	$271.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $271.60	Professional		$271.60	$271.60	$271.60