Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $575.44 / $1,737.80	Facility		$295.12	$575.44	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $416.87	Professional		$263.03	$295.12	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $316.23	Professional		$147.91	$251.19	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,412.54 / $1,737.80	Professional		$151.36	$1,412.54	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $660.69	Facility		$295.12	$407.38	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $478.63	Professional		$331.13	$363.08	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $389.05	Professional		$338.84	$338.84	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $851.14	Facility		$371.54	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $281.84	Professional		$239.88	$239.88	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $257.04	Professional		$204.17	$257.04	$257.04