Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $1,246.47 / $1,743.53	Facility		$640.73	$1,246.47	$1,743.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.88 / $493.36 / $493.36	Professional		$422.88	$493.36	$493.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.63 / $768.88 / $835.78	Professional		$668.63	$768.88	$835.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $832.95 / $1,121.28	Professional		$544.62	$832.95	$1,121.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $828.14 / $1,710.75	Facility		$640.73	$828.14	$1,710.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $384.44 / $1,473.68	Professional		$384.44	$384.44	$1,473.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $768.88 / $1,121.28 / $1,404.21	Facility		$768.88	$1,121.28	$1,404.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $768.88 / $1,121.28 / $1,404.21	Professional		$768.88	$1,121.28	$1,404.21
United Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $384.44 / $1,311.89	Professional		$384.44	$384.44	$1,311.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $506.18 / $640.73 / $640.73	Professional		$506.18	$640.73	$640.73