Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $214.44 / $352.84	Professional		$125.89	$214.44	$352.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.91 / $416.26 / $650.39	Professional		$283.91	$416.26	$650.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $301.89 / $1,088.31	Professional		$136.76	$301.89	$1,088.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.44 / $362.40 / $661.20	Facility		$214.44	$362.40	$661.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.18 / $419.23 / $1,478.23	Professional		$226.18	$419.23	$1,478.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $353.63 / $564.55	Facility		$229.86	$353.63	$564.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $408.32 / $572.84	Professional		$280.08	$408.32	$572.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $325.55 / $606.16	Professional		$205.84	$325.55	$606.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $319.39 / $536.00	Professional		$271.50	$319.39	$536.00