Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.86 / $894.61 / $1,251.34	Facility		$459.86	$894.61	$1,251.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.27 / $432.27 / $1,242.85	Professional		$432.27	$432.27	$1,242.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $835.58 / $1,044.48	Professional		$528.64	$835.58	$1,044.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.88 / $597.82 / $832.35	Professional		$390.88	$597.82	$832.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $459.86 / $593.41 / $1,227.83	Facility		$459.86	$593.41	$1,227.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.92 / $275.92 / $1,057.68	Professional		$275.92	$275.92	$1,057.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $551.83 / $804.76 / $1,007.82	Facility		$551.83	$804.76	$1,007.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $804.76 / $1,007.82	Professional		$551.83	$804.76	$1,007.82
United Facility/Professional Professional Modifier Low / Median / High Price $275.92 / $275.92 / $941.56	Professional		$275.92	$275.92	$941.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.29 / $459.86 / $459.86	Professional		$363.29	$459.86	$459.86