Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,098.00 / $2,113.23 / $4,607.92	Facility		$2,098.00	$2,113.23	$4,607.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,098.00 / $2,351.23 / $4,559.39	Professional		$2,098.00	$2,351.23	$4,559.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,117.92 / $2,117.92 / $2,647.41	Professional		$2,117.92	$2,117.92	$2,647.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.74 / $2,116.32 / $3,154.52	Professional		$1,223.74	$2,116.32	$3,154.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,475.00 / $2,113.23 / $2,706.85	Facility		$1,475.00	$2,113.23	$2,706.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,475.00 / $2,113.23 / $3,101.86	Professional		$1,475.00	$2,113.23	$3,101.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,877.10 / $3,101.86 / $4,244.46	Facility		$1,877.10	$3,101.86	$4,244.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,276.55 / $2,357.42 / $3,317.35	Professional		$1,276.55	$2,357.42	$3,317.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,158.65	Professional		$2,116.32	$2,116.32	$2,158.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $2,113.23 / $2,113.23	Facility		$2,113.23	$2,113.23	$2,113.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,113.23 / $2,113.23 / $2,113.23	Professional		$2,113.23	$2,113.23	$2,113.23