Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.23 / $1,023.74 / $1,431.98	Facility		$526.23	$1,023.74	$1,431.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.31 / $347.31 / $347.31	Professional		$347.31	$347.31	$347.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.63 / $955.70 / $1,194.61	Professional		$604.63	$955.70	$1,194.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $447.30 / $684.10 / $952.48	Professional		$447.30	$684.10	$952.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $526.23 / $679.07 / $1,977.19	Facility		$526.23	$679.07	$1,977.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.74 / $315.74 / $1,330.84	Professional		$315.74	$315.74	$1,330.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $631.99 / $962.34 / $1,153.28	Facility		$631.99	$962.34	$1,153.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $631.48 / $1,035.58 / $1,373.46	Professional		$631.48	$1,035.58	$1,373.46
United Facility/Professional Professional Modifier Low / Median / High Price $315.74 / $315.74 / $1,077.46	Professional		$315.74	$315.74	$1,077.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $415.72 / $526.23 / $526.23	Professional		$415.72	$526.23	$526.23