Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $338.84	Professional		$295.12	$302.00	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,621.81 / $2,041.74	Professional		$151.36	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $380.19 / $1,698.24	Facility		$251.19	$380.19	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $446.68	Professional		$288.40	$323.59	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $338.84	Professional		$302.00	$302.00	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,000.00	Facility		$446.68	$758.58	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Professional		$218.78	$218.78	$257.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $660.69	Professional		$512.86	$660.69	$660.69