Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.06 / $297.06 / $378.40	Professional		$297.06	$297.06	$378.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.25 / $593.25 / $741.56	Professional		$593.25	$593.25	$741.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $733.97 / $733.97 / $733.97	Professional		$733.97	$733.97	$733.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.65 / $2,401.40 / $2,401.40	Facility		$467.65	$2,401.40	$2,401.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.39 / $420.07 / $614.41	Professional		$334.39	$420.07	$614.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $610.80 / $633.69 / $633.69	Professional		$610.80	$633.69	$633.69
United Facility/Professional Professional Modifier Low / Median / High Price $363.90 / $420.07 / $592.49	Professional		$363.90	$420.07	$592.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Professional		$678.00	$678.00	$678.00