Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.78 / $950.65 / $2,076.46	Facility		$526.78	$950.65	$2,076.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.52 / $425.13 / $474.00	Professional		$322.52	$425.13	$474.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.88 / $887.81 / $1,109.76	Professional		$586.88	$887.81	$1,109.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $855.16 / $1,288.83	Professional		$488.66	$855.16	$1,288.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $755.49 / $1,531.95	Facility		$488.66	$755.49	$1,531.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $586.88 / $2,587.23	Professional		$293.20	$586.88	$2,587.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $586.39 / $995.55 / $1,531.95	Facility		$586.39	$995.55	$1,531.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $586.88 / $1,006.64 / $1,433.28	Professional		$586.88	$1,006.64	$1,433.28
United Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $293.20 / $1,004.46	Professional		$293.20	$293.20	$1,004.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $488.66 / $488.66	Professional		$488.66	$488.66	$488.66