Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $898.39 / $1,369.85	Facility		$503.40	$898.39	$1,369.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.24 / $332.24 / $332.24	Professional		$332.24	$332.24	$332.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $604.08 / $656.25	Professional		$525.00	$604.08	$656.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $427.89 / $654.41 / $880.95	Professional		$427.89	$654.41	$880.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $654.41 / $1,976.01	Facility		$503.40	$654.41	$1,976.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.04 / $503.40 / $1,157.82	Professional		$302.04	$503.40	$1,157.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $604.58 / $958.34 / $1,103.24	Facility		$604.58	$958.34	$1,103.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $604.08 / $958.34 / $1,283.67	Professional		$604.08	$958.34	$1,283.67
United Facility/Professional Professional Modifier Low / Median / High Price $302.04 / $302.04 / $1,097.41	Professional		$302.04	$302.04	$1,097.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $503.40 / $503.40	Professional		$397.69	$503.40	$503.40