Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $209.77 / $248.61	Professional		$178.84	$209.77	$248.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $352.94 / $1,023.25	Professional		$266.70	$352.94	$1,023.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $671.09 / $672.92	Professional		$150.00	$671.09	$672.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $323.05 / $630.40	Facility		$209.77	$323.05	$630.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $204.83 / $1,409.81	Professional		$144.59	$204.83	$1,409.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.70 / $352.94 / $708.42	Facility		$266.70	$352.94	$708.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $353.63 / $1,023.25	Professional		$266.70	$353.63	$1,023.25
United Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $144.59 / $248.21	Professional		$144.59	$144.59	$248.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $275.20 / $275.20 / $275.20	Facility		$275.20	$275.20	$275.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $217.42 / $275.20 / $275.20	Professional		$217.42	$275.20	$275.20