Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.24 / $955.05 / $1,311.34	Facility		$716.24	$955.05	$1,311.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $1,010.42	Professional		$690.18	$690.18	$1,010.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $480.75 / $600.94	Professional		$240.52	$480.75	$600.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,561.40 / $3,144.60 / $3,927.60	Professional		$2,561.40	$3,144.60	$3,927.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $808.34 / $1,062.88 / $1,644.27	Facility		$808.34	$1,062.88	$1,644.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $906.95 / $1,008.27 / $1,384.37	Professional		$906.95	$1,008.27	$1,384.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,036.18 / $1,062.88 / $1,062.88	Facility		$1,036.18	$1,062.88	$1,062.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $906.95 / $1,008.27 / $1,062.88	Professional		$906.95	$1,008.27	$1,062.88
United Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $525.50 / $525.50	Professional		$525.50	$525.50	$525.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $533.77 / $675.66 / $675.66	Professional		$533.77	$675.66	$675.66