Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.79 / $435.79 / $850.67	Facility		$435.79	$435.79	$850.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $435.79 / $1,156.97	Professional		$384.85	$435.79	$1,156.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.69 / $457.80 / $485.86	Professional		$388.69	$457.80	$485.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $384.85 / $1,659.96	Professional		$307.88	$384.85	$1,659.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $435.79 / $587.51	Facility		$381.64	$435.79	$587.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $424.85 / $572.46	Professional		$381.64	$424.85	$572.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.80 / $572.46 / $884.94	Facility		$457.80	$572.46	$884.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.80 / $572.25 / $627.64	Professional		$457.80	$572.25	$627.64
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $396.40 / $457.97	Professional		$384.85	$396.40	$457.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $417.64 / $417.64 / $417.64	Facility		$417.64	$417.64	$417.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $417.64 / $417.64 / $417.64	Professional		$417.64	$417.64	$417.64