Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $870.96 / $1,258.93	Facility		$354.81	$870.96	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $457.09	Professional		$331.13	$354.81	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,096.48	Professional		$660.69	$891.25	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $575.44 / $831.76	Professional		$151.36	$575.44	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $549.54 / $1,174.90	Facility		$457.09	$549.54	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $1,000.00	Professional		$275.42	$275.42	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $588.84	Professional		$549.54	$549.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,023.29	Facility		$457.09	$457.09	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $1,000.00	Professional		$275.42	$275.42	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $457.09	Professional		$363.08	$457.09	$457.09