Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.47 / $1,386.04 / $1,938.75	Facility		$712.47	$1,386.04	$1,938.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.23 / $470.23 / $470.23	Professional		$470.23	$470.23	$470.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $1,294.50 / $1,618.13	Professional		$818.98	$1,294.50	$1,618.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $605.60 / $926.21 / $1,246.82	Professional		$605.60	$926.21	$1,246.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.47 / $920.87 / $1,902.29	Facility		$712.47	$920.87	$1,902.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.48 / $427.48 / $1,638.68	Professional		$427.48	$427.48	$1,638.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $854.96 / $1,246.82 / $1,561.44	Facility		$854.96	$1,246.82	$1,561.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $854.96 / $1,246.82 / $1,561.44	Professional		$854.96	$1,246.82	$1,561.44
United Facility/Professional Facility Modifier Low / Median / High Price $712.47 / $712.47 / $1,638.68	Facility		$712.47	$712.47	$1,638.68
United Facility/Professional Professional Modifier Low / Median / High Price $427.48 / $427.48 / $1,553.18	Professional		$427.48	$427.48	$1,553.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.85 / $712.47 / $712.47	Professional		$562.85	$712.47	$712.47