Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $321.18	Professional		$318.00	$318.00	$321.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.66 / $348.33 / $1,486.34	Professional		$278.66	$348.33	$1,486.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $520.11 / $889.13	Professional		$270.30	$520.11	$889.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $537.41 / $1,516.70	Facility		$318.00	$537.41	$1,516.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $1,486.34	Professional		$318.00	$318.00	$1,486.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.21 / $422.78 / $1,074.25	Facility		$328.21	$422.78	$1,074.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.21 / $482.12 / $1,486.34	Professional		$328.21	$482.12	$1,486.34
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $343.44	Professional		$318.00	$318.00	$343.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.22 / $318.00 / $318.00	Professional		$251.22	$318.00	$318.00