Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $902.21 / $1,261.99	Facility		$463.76	$902.21	$1,261.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.93 / $435.93 / $1,253.42	Professional		$435.93	$435.93	$1,253.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $842.76 / $1,053.46	Professional		$533.17	$842.76	$1,053.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $602.89 / $839.41	Professional		$394.20	$602.89	$839.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $598.45 / $1,238.24	Facility		$463.76	$598.45	$1,238.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.26 / $278.26 / $1,066.65	Professional		$278.26	$278.26	$1,066.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $556.51 / $811.58 / $1,016.36	Facility		$556.51	$811.58	$1,016.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.51 / $811.58 / $1,016.36	Professional		$556.51	$811.58	$1,016.36
United Facility/Professional Professional Modifier Low / Median / High Price $278.26 / $278.26 / $949.55	Professional		$278.26	$278.26	$949.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $366.37 / $463.76 / $463.76	Professional		$366.37	$463.76	$463.76