Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.70 / $983.70 / $1,738.09	Facility		$983.70	$983.70	$1,738.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.84 / $1,806.00 / $4,695.60	Professional		$714.84	$1,806.00	$4,695.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.86 / $949.42 / $1,013.58	Professional		$810.86	$949.42	$1,013.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $710.89 / $771.56 / $1,761.20	Professional		$710.89	$771.56	$1,761.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.04 / $955.03 / $1,335.17	Facility		$790.04	$955.03	$1,335.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $790.04 / $790.04 / $1,375.78	Professional		$790.04	$790.04	$1,375.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $948.04 / $1,201.60 / $1,810.79	Facility		$948.04	$1,201.60	$1,810.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $913.21 / $1,152.24 / $2,046.63	Professional		$913.21	$1,152.24	$2,046.63
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $794.71	Professional		$771.56	$771.56	$794.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $790.04 / $790.04 / $790.04	Facility		$790.04	$790.04	$790.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $790.04 / $790.04 / $790.04	Professional		$790.04	$790.04	$790.04