Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $662.69	Professional		$656.12	$656.12	$662.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $1,049.58 / $1,311.98	Professional		$199.52	$1,049.58	$1,311.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $381.66 / $656.12 / $1,187.58	Professional		$381.66	$656.12	$1,187.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $845.27 / $1,668.00 / $1,842.22	Facility		$845.27	$1,668.00	$1,842.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,090.07 / $1,090.07 / $2,180.14	Professional		$1,090.07	$1,090.07	$2,180.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.71 / $1,236.17 / $1,308.08	Facility		$707.71	$1,236.17	$1,308.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $1,236.17 / $1,308.08	Professional		$199.52	$1,236.17	$1,308.08
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $853.61	Professional		$656.12	$656.12	$853.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,090.07 / $1,090.07	Facility		$1,090.07	$1,090.07	$1,090.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $861.16 / $1,090.07 / $1,090.07	Professional		$861.16	$1,090.07	$1,090.07