Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.93 / $913.93 / $913.93	Facility		$913.93	$913.93	$913.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $731.14 / $913.93	Professional		$731.14	$731.14	$913.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $947.95	Professional		$776.84	$776.84	$947.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,230.55 / $1,230.55	Professional		$150.00	$1,230.55	$1,230.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.17 / $913.93 / $1,302.34	Facility		$372.17	$913.93	$1,302.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $1,043.41	Professional		$761.61	$761.61	$1,043.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,302.34 / $1,519.40 / $2,092.42	Facility		$1,302.34	$1,519.40	$2,092.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $947.95 / $947.95 / $947.95	Professional		$947.95	$947.95	$947.95
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $837.77	Professional		$761.61	$761.61	$837.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $294.01 / $372.17 / $372.17	Professional		$294.01	$372.17	$372.17