Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $559.47	Professional		$553.94	$553.94	$559.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $315.75 / $1,501.24	Professional		$252.60	$315.75	$1,501.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $347.32 / $553.94 / $1,002.63	Professional		$347.32	$553.94	$1,002.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $331.68 / $1,307.50	Facility		$194.83	$331.68	$1,307.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $194.83 / $1,501.24	Professional		$194.83	$194.83	$1,501.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $297.50 / $864.86	Facility		$233.79	$297.50	$864.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.85 / $331.68 / $1,501.24	Professional		$290.85	$331.68	$1,501.24
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $598.26	Professional		$553.94	$553.94	$598.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $194.83 / $194.83	Facility		$194.83	$194.83	$194.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $194.83 / $194.83	Professional		$153.91	$194.83	$194.83