Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,380.38 / $1,995.26	Facility		$549.54	$1,380.38	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $870.96	Professional		$501.19	$562.34	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,737.80	Professional		$1,023.29	$1,380.38	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $891.25 / $1,258.93	Professional		$151.36	$891.25	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $1,905.46	Facility		$724.44	$870.96	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,584.89	Professional		$436.52	$436.52	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $2,818.38	Professional		$870.96	$933.25	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,584.89	Facility		$724.44	$724.44	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,584.89	Professional		$436.52	$436.52	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $724.44	Professional		$562.34	$724.44	$724.44