Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,584.89 / $2,344.23	Facility		$645.65	$1,584.89	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,000.00	Professional		$549.54	$676.08	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,995.26	Professional		$1,202.26	$1,621.81	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,047.13 / $1,513.56	Professional		$151.36	$1,047.13	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,238.72	Facility		$831.76	$1,000.00	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,949.84	Professional		$501.19	$501.19	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,862.09	Facility		$831.76	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,819.70	Professional		$501.19	$501.19	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $831.76	Professional		$660.69	$831.76	$831.76