Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $579.07 / $615.26	Professional		$579.07	$579.07	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $869.33 / $869.33	Professional		$615.26	$869.33	$869.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $723.84 / $984.42	Facility		$579.07	$723.84	$984.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $1,447.68	Professional		$723.84	$723.84	$1,447.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $869.33 / $869.33 / $869.33	Facility		$869.33	$869.33	$869.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $869.33 / $869.33 / $869.33	Professional		$869.33	$869.33	$869.33
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $781.75	Professional		$723.84	$723.84	$781.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $723.84 / $723.84	Facility		$723.84	$723.84	$723.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $571.83 / $723.84 / $723.84	Professional		$571.83	$723.84	$723.84