Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.99 / $1,052.44 / $1,472.12	Facility		$540.99	$1,052.44	$1,472.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.05 / $416.56 / $416.56	Professional		$357.05	$416.56	$416.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.57 / $982.46 / $1,228.08	Professional		$621.57	$982.46	$1,228.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.84 / $703.29 / $979.19	Professional		$459.84	$703.29	$979.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $540.99 / $698.12 / $2,032.65	Facility		$540.99	$698.12	$2,032.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $1,368.16	Professional		$324.58	$324.58	$1,368.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $649.72 / $989.33 / $1,185.63	Facility		$649.72	$989.33	$1,185.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $649.19 / $1,058.60 / $1,411.98	Professional		$649.19	$1,058.60	$1,411.98
United Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $1,107.68	Professional		$324.58	$324.58	$1,107.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $427.38 / $540.99 / $540.99	Professional		$427.38	$540.99	$540.99