Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.31 / $1,537.31 / $3,997.84	Facility		$1,537.31	$1,537.31	$3,997.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,537.31 / $1,808.65 / $3,922.01	Professional		$1,537.31	$1,808.65	$3,922.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,846.20 / $1,870.21 / $2,307.75	Professional		$1,846.20	$1,870.21	$2,307.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.47 / $1,808.65 / $3,056.24	Professional		$1,262.47	$1,808.65	$3,056.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.00 / $1,809.44 / $2,358.34	Facility		$1,230.00	$1,809.44	$2,358.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,538.02 / $2,026.57 / $2,370.28	Professional		$1,538.02	$2,026.57	$2,370.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,354.41 / $2,721.16 / $3,796.53	Facility		$1,354.41	$2,721.16	$3,796.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,216.64 / $2,088.62 / $2,721.16	Professional		$1,216.64	$2,088.62	$2,721.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,899.08 / $2,025.69	Professional		$1,808.65	$1,899.08	$2,025.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,809.44 / $1,809.44 / $1,809.44	Facility		$1,809.44	$1,809.44	$1,809.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,809.44 / $1,809.44 / $1,809.44	Professional		$1,809.44	$1,809.44	$1,809.44