Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $977.24 / $1,412.54	Facility		$389.05	$977.24	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $512.86	Professional		$371.54	$407.38	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,230.27	Professional		$741.31	$977.24	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $645.65 / $891.25	Professional		$151.36	$645.65	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $660.69 / $2,454.71	Facility		$398.11	$660.69	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,122.02	Professional		$309.03	$309.03	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $660.69	Professional		$616.60	$616.60	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $758.58	Facility		$512.86	$512.86	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,122.02	Professional		$309.03	$309.03	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $512.86	Professional		$407.38	$512.86	$512.86