Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $891.25 / $1,288.25	Facility		$354.81	$891.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $467.74	Professional		$309.03	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,122.02	Professional		$660.69	$891.25	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $575.44 / $831.76	Professional		$151.36	$575.44	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,174.90	Facility		$467.74	$562.34	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $1,023.29	Professional		$275.42	$275.42	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $602.56	Professional		$562.34	$562.34	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,023.29	Facility		$467.74	$467.74	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $1,000.00	Professional		$275.42	$275.42	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $467.74	Professional		$363.08	$467.74	$467.74