Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $352.51	Professional		$349.02	$349.02	$352.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.31 / $459.14 / $483.02	Professional		$367.31	$459.14	$483.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $394.64 / $674.63	Professional		$296.67	$394.64	$674.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.55 / $555.17 / $847.26	Facility		$356.55	$555.17	$847.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.55 / $356.55 / $713.10	Professional		$356.55	$356.55	$713.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $427.86 / $441.27 / $590.97	Facility		$427.86	$441.27	$590.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.86 / $432.61 / $590.97	Professional		$427.86	$432.61	$590.97
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $454.08	Professional		$349.02	$349.02	$454.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $356.55 / $356.55 / $356.55	Facility		$356.55	$356.55	$356.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.67 / $356.55 / $356.55	Professional		$281.67	$356.55	$356.55