Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $977.24	Facility		$275.42	$676.08	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $275.42 / $354.81	Professional		$3.98	$275.42	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $851.14	Professional		$512.86	$691.83	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $446.68 / $645.65	Professional		$151.36	$446.68	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $954.99	Facility		$354.81	$426.58	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $831.76	Professional		$213.80	$213.80	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $794.33	Facility		$354.81	$354.81	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $776.25	Professional		$213.80	$213.80	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $354.81	Professional		$281.84	$354.81	$354.81