Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.60 / $921.82 / $932.51	Professional		$533.60	$921.82	$932.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.75 / $1,101.75 / $1,377.19	Professional		$1,101.75	$1,101.75	$1,377.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.50 / $2,337.50 / $2,337.50	Professional		$2,337.50	$2,337.50	$2,337.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.50 / $4,459.81 / $4,459.81	Facility		$868.50	$4,459.81	$4,459.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $621.01 / $780.13 / $1,141.03	Professional		$621.01	$780.13	$1,141.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,134.47 / $1,176.98 / $1,176.98	Professional		$1,134.47	$1,176.98	$1,176.98
United Facility/Professional Facility Modifier Low / Median / High Price $868.50 / $868.50 / $1,936.76	Facility		$868.50	$868.50	$1,936.76
United Facility/Professional Professional Modifier Low / Median / High Price $621.01 / $780.13 / $1,116.11	Professional		$621.01	$780.13	$1,116.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $1,258.00 / $1,258.00	Facility		$1,258.00	$1,258.00	$1,258.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.00 / $1,258.00 / $1,258.00	Professional		$1,258.00	$1,258.00	$1,258.00