Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,074.12 / $2,074.12 / $2,074.12	Professional		$2,074.12	$2,074.12	$2,074.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.57 / $791.57 / $989.46	Professional		$791.57	$791.57	$989.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $362.34 / $604.67 / $1,200.86	Professional		$362.34	$604.67	$1,200.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $624.65 / $971.42 / $6,608.00	Facility		$624.65	$971.42	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.53 / $877.23 / $1,947.65	Professional		$443.53	$877.23	$1,947.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $620.01 / $839.88 / $1,130.36	Facility		$620.01	$839.88	$1,130.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $620.01 / $839.88 / $1,130.36	Professional		$620.01	$839.88	$1,130.36
United Facility/Professional Professional Modifier Low / Median / High Price $425.05 / $854.06 / $1,223.41	Professional		$425.05	$854.06	$1,223.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $608.29 / $770.00 / $905.90	Professional		$608.29	$770.00	$905.90