Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.94 / $591.92 / $591.92	Professional		$478.94	$591.92	$591.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $955.00 / $1,315.78	Professional		$98.63	$955.00	$1,315.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $905.02 / $1,482.43	Professional		$91.27	$905.02	$1,482.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $460.01 / $952.24 / $4,697.76	Facility		$460.01	$952.24	$4,697.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $620.92 / $1,201.44 / $3,926.34	Professional		$620.92	$1,201.44	$3,926.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.01 / $952.24 / $2,116.58	Facility		$131.01	$952.24	$2,116.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $900.03 / $2,116.58	Professional		$131.01	$900.03	$2,116.58
United Facility/Professional Professional Modifier Low / Median / High Price $825.99 / $1,201.44 / $2,019.92	Professional		$825.99	$1,201.44	$2,019.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $212.00 / $2,160.30	Professional		$180.20	$212.00	$2,160.30