Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $2,245.67 / $2,245.67	Facility		$1,820.00	$2,245.67	$2,245.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Professional		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,882.56 / $2,979.24	Professional		$1,066.90	$1,882.56	$2,979.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $809.51 / $1,601.60 / $2,762.62	Facility		$809.51	$1,601.60	$2,762.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $2,470.00	Professional		$1,235.00	$1,235.00	$2,470.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,303.31 / $1,862.88 / $2,862.72	Facility		$1,303.31	$1,862.88	$2,862.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,456.85 / $1,882.56 / $2,979.24	Professional		$1,456.85	$1,882.56	$2,979.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,310.21	Professional		$1,235.00	$1,235.00	$1,310.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $639.51 / $809.51 / $809.51	Professional		$639.51	$809.51	$809.51