Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $19,498.45	Facility		$1,778.28	$1,862.09	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $10,471.29	Professional		$1,778.28	$1,949.84	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,238.72	Professional		$1,778.28	$1,778.28	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,737.80 / $2,511.89	Professional		$776.25	$1,737.80	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,737.80 / $2,570.40	Facility		$724.44	$1,737.80	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,511.89	Professional		$1,230.27	$1,778.28	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,187.76	Professional		$1,778.28	$2,187.76	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $2,089.30	Professional		$1,778.28	$1,819.70	$2,089.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80