Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,809.19 / $3,837.60 / $4,094.49	Facility		$2,809.19	$3,837.60	$4,094.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $3,123.35 / $7,974.62	Professional		$1,828.72	$3,123.35	$7,974.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.94 / $2,106.96 / $2,236.17	Professional		$1,788.94	$2,106.96	$2,236.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.98 / $1,828.72 / $5,551.16	Professional		$1,462.98	$1,828.72	$5,551.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $2,135.57 / $3,837.60	Facility		$1,861.13	$2,135.57	$3,837.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,861.13 / $1,861.13 / $3,814.47	Professional		$1,861.13	$1,861.13	$3,814.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,106.96 / $2,865.22 / $4,094.83	Facility		$2,106.96	$2,865.22	$4,094.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,048.94 / $2,669.47 / $6,028.52	Professional		$2,048.94	$2,669.47	$6,028.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,883.58	Professional		$1,828.72	$1,828.72	$1,883.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $1,861.13 / $1,861.13	Facility		$1,861.13	$1,861.13	$1,861.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,861.13 / $1,861.13 / $1,861.13	Professional		$1,861.13	$1,861.13	$1,861.13