Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,412.54 / $2,089.30	Facility		$575.44	$1,412.54	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $891.25	Professional		$489.78	$602.56	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,778.28	Professional		$1,071.52	$1,445.44	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $933.25 / $1,318.26	Professional		$151.36	$933.25	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,995.26	Facility		$758.58	$891.25	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,737.80	Professional		$446.68	$446.68	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,951.21	Professional		$891.25	$1,479.11	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,659.59	Facility		$758.58	$758.58	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,621.81	Professional		$446.68	$446.68	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $758.58	Professional		$588.84	$758.58	$758.58