Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $492.46	Professional		$487.59	$487.59	$492.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $502.31 / $591.96	Professional		$401.85	$502.31	$591.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.45 / $626.75 / $1,071.44	Professional		$414.45	$626.75	$1,071.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.63 / $750.89 / $1,025.08	Facility		$450.63	$750.89	$1,025.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $975.18	Professional		$487.59	$487.59	$975.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.17 / $585.10 / $591.96	Facility		$395.17	$585.10	$591.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $450.63 / $576.48 / $591.96	Professional		$450.63	$576.48	$591.96
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $536.35	Professional		$487.59	$487.59	$536.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $385.20 / $487.59 / $487.59	Professional		$385.20	$487.59	$487.59