Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $661.85	Professional		$655.29	$655.29	$661.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.48 / $1,128.18 / $1,745.85	Professional		$582.48	$1,128.18	$1,745.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.01 / $877.68 / $1,500.40	Professional		$557.01	$877.68	$1,500.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $1,321.21 / $2,113.71	Facility		$730.43	$1,321.21	$2,113.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $730.43 / $730.43 / $2,113.71	Professional		$730.43	$730.43	$2,113.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $876.52 / $1,158.59 / $2,113.71	Facility		$876.52	$1,158.59	$2,113.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $582.48 / $1,128.18 / $1,524.47	Professional		$582.48	$1,128.18	$1,524.47
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $707.72	Professional		$655.29	$655.29	$707.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $730.43 / $730.43	Facility		$730.43	$730.43	$730.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $730.43 / $730.43	Professional		$577.04	$730.43	$730.43