Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $465.97	Professional		$461.36	$461.36	$465.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.26 / $601.86 / $677.34	Professional		$300.26	$601.86	$677.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $388.27 / $461.36 / $835.06	Professional		$388.27	$461.36	$835.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $677.34 / $1,744.73	Facility		$330.31	$677.34	$1,744.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.31 / $330.31 / $781.54	Professional		$330.31	$330.31	$781.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.79 / $601.86 / $781.54	Facility		$145.79	$601.86	$781.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $300.26 / $601.86 / $781.54	Professional		$300.26	$601.86	$781.54
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $507.50	Professional		$461.36	$461.36	$507.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $330.31	Facility		$330.31	$330.31	$330.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.94 / $330.31 / $330.31	Professional		$260.94	$330.31	$330.31