Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,800.27 / $1,800.27 / $6,533.73	Facility		$1,800.27	$1,800.27	$6,533.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,800.27 / $1,857.07 / $4,707.20	Professional		$1,800.27	$1,857.07	$4,707.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $1,820.66 / $2,275.83	Professional		$1,820.66	$1,820.66	$2,275.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $1,332.72 / $2,953.43	Professional		$14.50	$1,332.72	$2,953.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $719.87 / $719.87 / $2,542.14	Facility		$719.87	$719.87	$2,542.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,119.07 / $2,212.83	Professional		$1,875.28	$2,119.07	$2,212.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,079.81 / $1,295.77 / $1,734.89	Facility		$1,079.81	$1,295.77	$1,734.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,975.56 / $1,975.56 / $1,975.56	Professional		$1,975.56	$1,975.56	$1,975.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,119.07 / $2,212.83	Professional		$1,875.28	$2,119.07	$2,212.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,718.96 / $1,718.96 / $1,718.96	Facility		$1,718.96	$1,718.96	$1,718.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,718.96 / $1,718.96 / $1,718.96	Professional		$1,718.96	$1,718.96	$1,718.96