Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.00 / $2,505.91 / $2,505.91	Facility		$1,990.00	$2,505.91	$2,505.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,300.00 / $1,300.00	Professional		$1,130.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.63 / $1,360.78 / $1,360.78	Professional		$1,088.63	$1,360.78	$1,360.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,979.40 / $2,476.33 / $3,320.12	Professional		$1,979.40	$2,476.33	$3,320.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,197.00 / $2,464.44 / $4,118.03	Facility		$2,197.00	$2,464.44	$4,118.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,112.98 / $2,192.15 / $2,464.44	Professional		$2,112.98	$2,192.15	$2,464.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,414.07 / $2,464.44 / $2,464.44	Facility		$2,414.07	$2,464.44	$2,464.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,112.98 / $2,349.03 / $2,464.44	Professional		$2,112.98	$2,349.03	$2,464.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $454.22 / $574.96 / $574.96	Professional		$454.22	$574.96	$574.96