Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,885.20 / $1,885.20 / $5,727.90	Facility		$1,885.20	$1,885.20	$5,727.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.20 / $2,073.07 / $2,073.07	Professional		$1,885.20	$2,073.07	$2,073.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.63 / $675.78 / $787.03	Professional		$629.63	$675.78	$787.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $4,458.68 / $4,552.71	Professional		$150.00	$4,458.68	$4,552.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.78 / $1,885.20 / $2,351.08	Facility		$675.78	$1,885.20	$2,351.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $863.78 / $2,159.44 / $2,224.23	Professional		$863.78	$2,159.44	$2,224.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $675.78 / $2,351.08 / $4,406.28	Facility		$675.78	$2,351.08	$4,406.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $651.57 / $947.78 / $1,456.46	Professional		$651.57	$947.78	$1,456.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,224.23	Professional		$2,159.44	$2,159.44	$2,224.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,159.44	Facility		$2,159.44	$2,159.44	$2,159.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,159.44	Professional		$2,159.44	$2,159.44	$2,159.44