Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.22 / $766.22 / $1,655.26	Facility		$766.22	$766.22	$1,655.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.06 / $748.85 / $1,075.89	Professional		$226.06	$748.85	$1,075.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.21 / $728.21 / $910.27	Professional		$728.21	$728.21	$910.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $748.85 / $1,160.83	Professional		$121.38	$748.85	$1,160.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $765.88 / $930.01	Facility		$98.00	$765.88	$930.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $742.90 / $1,073.08	Professional		$136.28	$742.90	$1,073.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $664.10 / $1,073.08 / $1,430.78	Facility		$664.10	$1,073.08	$1,430.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $815.54 / $1,163.73	Professional		$98.00	$815.54	$1,163.73
United Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Facility		$748.84	$748.84	$748.84
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $771.32	Professional		$748.85	$748.85	$771.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $742.90 / $742.90 / $742.90	Facility		$742.90	$742.90	$742.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $742.90 / $742.90 / $742.90	Professional		$742.90	$742.90	$742.90