Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $1,766.57 / $2,693.65	Facility		$206.50	$1,766.57	$2,693.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.21 / $1,118.90 / $2,499.19	Professional		$762.21	$1,118.90	$2,499.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,067.68 / $2,058.28 / $2,572.85	Professional		$1,067.68	$2,058.28	$2,572.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.99 / $597.99 / $1,694.98	Professional		$390.99	$597.99	$1,694.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.36 / $1,286.90 / $2,688.92	Facility		$384.36	$1,286.90	$2,688.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.94 / $1,106.07 / $2,475.00	Professional		$537.94	$1,106.07	$2,475.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $838.27 / $1,635.04 / $2,688.92	Facility		$838.27	$1,635.04	$2,688.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,094.00 / $1,664.75 / $2,688.92	Professional		$1,094.00	$1,664.75	$2,688.92
United Facility/Professional Professional Modifier Low / Median / High Price $537.94 / $572.85 / $2,267.40	Professional		$537.94	$572.85	$2,267.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $702.31 / $889.00 / $889.00	Professional		$702.31	$889.00	$889.00