Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.26 / $831.19 / $1,162.65	Facility		$427.26	$831.19	$1,162.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.62 / $401.62 / $1,154.75	Professional		$401.62	$401.62	$1,154.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.71 / $776.18 / $970.22	Professional		$512.71	$776.18	$970.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.17 / $576.79 / $2,183.77	Professional		$363.17	$576.79	$2,183.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.26 / $551.35 / $1,093.79	Facility		$427.26	$551.35	$1,093.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $427.26 / $1,680.88	Professional		$256.36	$427.26	$1,680.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.71 / $813.40 / $1,206.05	Facility		$512.71	$813.40	$1,206.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.71 / $829.31 / $1,089.51	Professional		$512.71	$829.31	$1,089.51
United Facility/Professional Facility Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Facility		$427.26	$427.26	$427.26
United Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $256.36 / $931.43	Professional		$256.36	$256.36	$931.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Professional		$427.26	$427.26	$427.26