Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $1,377.00	Professional		$1,296.00	$1,296.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.31 / $1,377.00 / $2,916.26	Professional		$1,346.31	$1,377.00	$2,916.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $1,620.00 / $2,916.26	Facility		$1,296.00	$1,620.00	$2,916.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,916.26	Professional		$1,350.00	$1,350.00	$2,916.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,315.79 / $1,842.78 / $2,916.26	Facility		$1,315.79	$1,842.78	$2,916.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,346.31 / $1,842.78 / $2,916.26	Professional		$1,346.31	$1,842.78	$2,916.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,756.35	Professional		$1,350.00	$1,350.00	$1,756.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Facility		$1,350.00	$1,350.00	$1,350.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,066.50 / $1,350.00 / $1,350.00	Professional		$1,066.50	$1,350.00	$1,350.00