Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.02 / $1,242.55 / $1,242.55	Facility		$1,007.02	$1,242.55	$1,242.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.25 / $719.89 / $824.06	Professional		$659.25	$719.89	$824.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.59 / $882.57 / $1,396.69	Facility		$198.59	$882.57	$1,396.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $1,275.76	Professional		$683.34	$683.34	$1,275.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $830.19 / $851.66 / $1,396.69	Facility		$830.19	$851.66	$1,396.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $719.89 / $882.57 / $1,324.18	Professional		$719.89	$882.57	$1,324.18
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $724.96	Professional		$683.34	$683.34	$724.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $473.54 / $599.41 / $599.41	Professional		$473.54	$599.41	$599.41