Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.99 / $1,462.99 / $3,233.79	Facility		$1,462.99	$1,462.99	$3,233.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,170.39 / $1,462.99	Professional		$1,170.39	$1,170.39	$1,462.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.25 / $1,173.46 / $1,289.06	Professional		$1,031.25	$1,173.46	$1,289.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,422.50 / $1,452.50	Professional		$150.00	$1,422.50	$1,452.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1,246.93 / $1,462.99	Facility		$1.00	$1,246.93	$1,462.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,255.73	Professional		$1,219.16	$1,219.16	$1,255.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,333.48 / $2,057.53 / $3,005.25	Facility		$1,333.48	$2,057.53	$3,005.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,333.48 / $1,333.48 / $1,333.48	Professional		$1,333.48	$1,333.48	$1,333.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,243.54	Professional		$1,219.16	$1,219.16	$1,243.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Facility		$1,219.16	$1,219.16	$1,219.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Professional		$1,219.16	$1,219.16	$1,219.16