Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,096.48 / $1,698.24	Facility		$446.68	$1,096.48	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $1,148.15	Professional		$380.19	$501.19	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,380.38	Professional		$758.58	$1,122.02	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,995.26	Professional		$575.44	$1,047.13	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $1,819.70	Facility		$575.44	$758.58	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,513.56	Professional		$346.74	$691.83	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $758.58	Professional		$691.83	$741.31	$758.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,288.25	Facility		$575.44	$575.44	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,412.54	Professional		$346.74	$489.78	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $575.44	Professional		$457.09	$575.44	$575.44