Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $740.64 / $1,035.99	Facility		$380.72	$740.64	$1,035.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.96 / $1,028.96 / $1,028.96	Professional		$1,028.96	$1,028.96	$1,028.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $691.32 / $864.14	Professional		$437.37	$691.32	$864.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.61 / $494.94 / $689.10	Professional		$323.61	$494.94	$689.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $491.28 / $1,430.47	Facility		$380.72	$491.28	$1,430.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $228.43 / $962.84	Professional		$228.43	$228.43	$962.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.25 / $696.24 / $859.11	Facility		$457.25	$696.24	$859.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $456.86 / $784.28 / $993.68	Professional		$456.86	$784.28	$993.68
United Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $228.43 / $829.97	Professional		$228.43	$228.43	$829.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $380.72 / $380.72	Professional		$300.77	$380.72	$380.72