Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,819.70 / $2,630.27	Facility		$724.44	$1,819.70	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $954.99	Professional		$660.69	$758.58	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,290.87	Professional		$1,819.70	$1,819.70	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,230.27 / $1,737.80	Professional		$151.36	$1,230.27	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,187.76	Facility		$954.99	$1,148.15	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $3,715.35	Professional		$575.44	$954.99	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,187.76	Facility		$954.99	$954.99	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $2,398.83	Professional		$575.44	$575.44	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99