Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $575.44 / $1,023.29	Facility		$512.86	$575.44	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $870.96	Professional		$512.86	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $645.65	Professional		$512.86	$524.81	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $891.25	Professional		$354.81	$501.19	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $575.44 / $831.76	Facility		$501.19	$575.44	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $870.96	Professional		$501.19	$501.19	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $645.65	Professional		$588.84	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $524.81	Professional		$489.78	$512.86	$524.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19