Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $1,246.47 / $1,743.53	Facility		$640.73	$1,246.47	$1,743.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.88 / $493.36 / $493.36	Professional		$422.88	$493.36	$493.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $1,163.94 / $1,454.93	Professional		$736.38	$1,163.94	$1,454.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $961.10 / $1,159.72	Professional		$544.62	$961.10	$1,159.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $828.14 / $1,710.75	Facility		$640.73	$828.14	$1,710.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $384.44 / $1,473.68	Professional		$384.44	$384.44	$1,473.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $768.88 / $897.02 / $1,400.18	Facility		$768.88	$897.02	$1,400.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $768.88 / $845.76 / $1,400.18	Professional		$768.88	$845.76	$1,400.18
United Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $384.44 / $2,067.69	Professional		$384.44	$384.44	$2,067.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $506.18 / $640.73 / $640.73	Professional		$506.18	$640.73	$640.73