Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.20 / $990.59 / $1,385.61	Facility		$509.20	$990.59	$1,385.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.07 / $336.07 / $336.07	Professional		$336.07	$336.07	$336.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $925.02 / $1,156.27	Professional		$585.22	$925.02	$1,156.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $432.82 / $661.96 / $921.65	Professional		$432.82	$661.96	$921.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.20 / $657.09 / $1,913.21	Facility		$509.20	$657.09	$1,913.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.52 / $305.52 / $1,287.77	Professional		$305.52	$305.52	$1,287.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $611.54 / $931.20 / $1,115.96	Facility		$611.54	$931.20	$1,115.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $611.04 / $1,002.07 / $1,329.01	Professional		$611.04	$1,002.07	$1,329.01
United Facility/Professional Professional Modifier Low / Median / High Price $305.52 / $305.52 / $1,643.24	Professional		$305.52	$305.52	$1,643.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $402.27 / $509.20 / $509.20	Professional		$402.27	$509.20	$509.20