Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.11 / $2,307.79 / $3,988.17	Facility		$1,213.11	$2,307.79	$3,988.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,351.70 / $3,734.25	Professional		$1,000.00	$1,351.70	$3,734.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.80 / $1,156.80 / $1,446.00	Professional		$1,156.80	$1,156.80	$1,446.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,329.60 / $1,914.00	Professional		$150.00	$1,329.60	$1,914.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1,450.81 / $2,052.71	Facility		$1.00	$1,450.81	$2,052.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,251.07	Professional		$1,214.63	$1,214.63	$1,251.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1,176.61 / $1,327.56	Facility		$0.90	$1,176.61	$1,327.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,327.56 / $1,327.56 / $1,327.56	Professional		$1,327.56	$1,327.56	$1,327.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,251.07	Professional		$1,214.63	$1,214.63	$1,251.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Facility		$1,214.63	$1,214.63	$1,214.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63