Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,000.00 / $1,445.44	Facility		$407.38	$1,000.00	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $630.96	Professional		$371.54	$407.38	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,258.93	Professional		$758.58	$1,000.00	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $660.69 / $954.99	Professional		$151.36	$660.69	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $1,412.54	Facility		$524.81	$630.96	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,202.26	Professional		$316.23	$316.23	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,174.90	Facility		$524.81	$524.81	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,148.15	Professional		$316.23	$316.23	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $524.81	Professional		$416.87	$524.81	$524.81