Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $453.90	Professional		$449.41	$449.41	$453.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.81 / $614.77 / $1,561.29	Professional		$491.81	$614.77	$1,561.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $727.21 / $1,243.17	Professional		$382.00	$727.21	$1,243.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $817.37 / $1,443.48	Facility		$483.65	$817.37	$1,443.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.65 / $483.65 / $1,561.29	Professional		$483.65	$483.65	$1,561.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $579.26 / $699.51 / $1,193.88	Facility		$579.26	$699.51	$1,193.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $579.26 / $797.68 / $1,561.29	Professional		$579.26	$797.68	$1,561.29
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $782.60	Professional		$449.41	$449.41	$782.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $483.65 / $483.65	Facility		$483.65	$483.65	$483.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.08 / $483.65 / $483.65	Professional		$382.08	$483.65	$483.65