Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.72 / $608.72 / $1,171.68	Facility		$608.72	$608.72	$1,171.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $608.72 / $12,256.45	Professional		$529.89	$608.72	$12,256.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.49 / $553.32 / $668.11	Professional		$534.49	$553.32	$668.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.91 / $529.89 / $988.62	Professional		$376.91	$529.89	$988.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.58 / $608.72 / $807.83	Facility		$532.58	$608.72	$807.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $532.58 / $532.58 / $788.84	Professional		$532.58	$532.58	$788.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $628.77 / $788.84 / $1,235.83	Facility		$628.77	$788.84	$1,235.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $599.52 / $639.10 / $788.84	Professional		$599.52	$639.10	$788.84
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $582.88	Professional		$529.89	$529.89	$582.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $532.58 / $532.58 / $532.58	Facility		$532.58	$532.58	$532.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $532.58 / $532.58 / $532.58	Professional		$532.58	$532.58	$532.58