Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $479.20 / $497.89	Professional		$228.47	$479.20	$497.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $670.88 / $1,155.00	Professional		$213.23	$670.88	$1,155.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $473.85 / $588.71 / $794.50	Professional		$473.85	$588.71	$794.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.32 / $554.79 / $1,155.00	Facility		$394.32	$554.79	$1,155.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.62 / $295.50 / $507.28	Professional		$221.62	$295.50	$507.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $651.54 / $1,155.00	Facility		$462.00	$651.54	$1,155.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $589.92 / $1,155.00	Professional		$462.00	$589.92	$1,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $295.50 / $378.36	Professional		$184.69	$295.50	$378.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,170.78 / $1,482.00 / $1,482.00	Professional		$1,170.78	$1,482.00	$1,482.00