Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $720.64	Professional		$713.50	$713.50	$720.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.68 / $1,242.08 / $1,664.96	Professional		$993.68	$1,242.08	$1,664.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $606.48 / $1,020.30 / $1,744.20	Professional		$606.48	$1,020.30	$1,744.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $1,590.00 / $1,664.96	Facility		$941.46	$1,590.00	$1,664.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $941.46 / $941.46 / $1,882.92	Professional		$941.46	$941.46	$1,882.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,129.75 / $1,252.70 / $1,921.10	Facility		$1,129.75	$1,252.70	$1,921.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,129.75 / $1,252.70 / $1,921.10	Professional		$1,129.75	$1,252.70	$1,921.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,609.18 / $1,609.18 / $1,609.18	Facility		$1,609.18	$1,609.18	$1,609.18
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $784.85	Professional		$713.50	$713.50	$784.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $941.46 / $941.46	Facility		$941.46	$941.46	$941.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $743.75 / $941.46 / $941.46	Professional		$743.75	$941.46	$941.46