Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.05 / $1,037.23 / $1,207.52	Facility		$799.05	$1,037.23	$1,207.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $782.34 / $1,037.23	Professional		$546.29	$782.34	$1,037.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.67 / $626.19 / $664.59	Professional		$531.67	$626.19	$664.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $988.78 / $1,427.04	Professional		$546.29	$988.78	$1,427.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.43 / $626.19 / $1,037.23	Facility		$391.43	$626.19	$1,037.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.65 / $529.38 / $1,002.84	Professional		$451.65	$529.38	$1,002.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $391.43 / $635.25 / $1,080.67	Facility		$391.43	$635.25	$1,080.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.66 / $695.89 / $1,066.00	Professional		$346.66	$695.89	$1,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $562.67	Professional		$546.29	$546.29	$562.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $529.38 / $529.38 / $529.38	Facility		$529.38	$529.38	$529.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $529.38 / $529.38 / $529.38	Professional		$529.38	$529.38	$529.38