Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,071.52 / $2,691.53	Facility		$194.98	$1,071.52	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $2,630.27	Professional		$660.69	$1,047.13	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,691.53	Professional		$1,621.81	$2,187.76	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,778.28	Professional		$389.05	$645.65	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,071.52 / $2,630.27	Facility		$354.81	$1,071.52	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,096.48 / $2,454.71	Professional		$537.03	$1,096.48	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,445.44	Professional		$831.76	$1,071.52	$1,445.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $1,096.48	Facility		$223.87	$436.52	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $549.54 / $1,949.84	Professional		$537.03	$549.54	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $891.25	Professional		$707.95	$891.25	$891.25