Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.79 / $572.79 / $1,101.08	Facility		$572.79	$572.79	$1,101.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $572.79 / $1,286.08	Professional		$498.14	$572.79	$1,286.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.03 / $518.87 / $625.03	Professional		$500.03	$518.87	$625.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.64 / $498.14 / $898.60	Professional		$354.64	$498.14	$898.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.80 / $572.79 / $755.78	Facility		$497.80	$572.79	$755.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $497.80 / $497.80 / $740.53	Professional		$497.80	$497.80	$740.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $588.91 / $740.52 / $1,160.15	Facility		$588.91	$740.52	$1,160.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $589.63 / $1,251.57	Professional		$562.79	$589.63	$1,251.57
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $513.08	Professional		$498.14	$498.14	$513.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $497.80 / $497.80 / $497.80	Facility		$497.80	$497.80	$497.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $497.80 / $497.80 / $497.80	Professional		$497.80	$497.80	$497.80