Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $597.13	Professional		$25.24	$25.24	$597.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $45.36 / $1,096.58	Professional		$23.83	$45.36	$1,096.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $454.44 / $662.37	Professional		$18.29	$454.44	$662.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $289.91 / $693.34	Facility		$23.36	$289.91	$693.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $280.38 / $1,575.44	Professional		$38.19	$280.38	$1,575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $364.23 / $771.03	Facility		$26.76	$364.23	$771.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $161.84 / $771.03	Professional		$26.43	$161.84	$771.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $296.67 / $384.37	Professional		$79.36	$296.67	$384.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $26.00 / $601.70	Professional		$22.10	$26.00	$601.70