Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.15 / $1,430.60 / $2,181.36	Facility		$864.15	$1,430.60	$2,181.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.07 / $617.25 / $2,166.55	Professional		$529.07	$617.25	$2,166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.99 / $1,455.74 / $1,819.68	Professional		$920.99	$1,455.74	$1,819.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $801.62 / $881.78 / $1,402.84	Professional		$801.62	$881.78	$1,402.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.70 / $961.94 / $1,771.58	Facility		$392.70	$961.94	$1,771.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.30 / $604.02 / $1,756.82	Professional		$276.30	$604.02	$1,756.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $340.45 / $1,042.10 / $1,756.82	Facility		$340.45	$1,042.10	$1,756.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.92 / $1,034.43 / $1,756.82	Professional		$535.92	$1,034.43	$1,756.82
United Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $480.97 / $1,486.08	Professional		$280.12	$480.97	$1,486.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $633.28 / $801.62 / $801.62	Professional		$633.28	$801.62	$801.62