Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.67 / $1,369.83 / $2,462.92	Facility		$624.67	$1,369.83	$2,462.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.46 / $446.20 / $1,566.16	Professional		$382.46	$446.20	$1,566.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.76 / $1,052.31 / $1,315.39	Professional		$665.76	$1,052.31	$1,315.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.48 / $1,014.09 / $1,767.00	Professional		$579.48	$1,014.09	$1,767.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.48 / $988.29 / $2,752.53	Facility		$579.48	$988.29	$2,752.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.69 / $596.86 / $1,586.08	Professional		$347.69	$596.86	$1,586.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $747.79 / $1,180.55 / $1,816.67	Facility		$747.79	$1,180.55	$1,816.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $695.94 / $1,180.55 / $1,627.92	Professional		$695.94	$1,180.55	$1,627.92
United Facility/Professional Professional Modifier Low / Median / High Price $347.69 / $485.86 / $1,403.57	Professional		$347.69	$485.86	$1,403.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.79 / $579.48 / $579.48	Professional		$457.79	$579.48	$579.48