Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $924.24	Professional		$915.09	$915.09	$924.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.26 / $630.33 / $1,268.07	Professional		$504.26	$630.33	$1,268.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.81 / $915.09 / $1,656.31	Professional		$707.81	$915.09	$1,656.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $1,268.07 / $1,744.73	Facility		$652.66	$1,268.07	$1,744.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.66 / $652.66 / $1,533.84	Professional		$652.66	$652.66	$1,533.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $556.00 / $593.92 / $1,268.07	Facility		$556.00	$593.92	$1,268.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $561.53 / $731.58 / $1,268.07	Professional		$561.53	$731.58	$1,268.07
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,006.60	Professional		$915.09	$915.09	$1,006.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $652.66 / $652.66	Facility		$652.66	$652.66	$652.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $515.60 / $652.66 / $652.66	Professional		$515.60	$652.66	$652.66