Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.44 / $671.44 / $671.44	Facility		$671.44	$671.44	$671.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.25 / $699.03 / $919.78	Professional		$543.25	$699.03	$919.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $1,113.75 / $1,334.55	Professional		$891.00	$1,113.75	$1,334.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $79.80 / $2,540.48	Professional		$76.86	$79.80	$2,540.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.71 / $1,475.86 / $3,758.09	Facility		$130.71	$1,475.86	$3,758.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $742.85 / $1,970.28	Professional		$134.75	$742.85	$1,970.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $142.60 / $308.95	Facility		$129.88	$142.60	$308.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $156.34 / $247.91	Professional		$129.88	$156.34	$247.91
United Facility/Professional Professional Modifier Low / Median / High Price $455.17 / $742.85 / $1,830.66	Professional		$455.17	$742.85	$1,830.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,213.23 / $1,213.23 / $1,213.23	Facility		$1,213.23	$1,213.23	$1,213.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,213.23 / $1,213.23 / $1,213.23	Professional		$1,213.23	$1,213.23	$1,213.23