Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,606.45	Professional		$1,590.54	$1,590.54	$1,606.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $1,890.94 / $2,363.67	Professional		$152.76	$1,890.94	$2,363.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.40 / $1,590.54 / $2,878.88	Professional		$1,181.40	$1,590.54	$2,878.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $2,550.00 / $3,138.00	Facility		$190.18	$2,550.00	$3,138.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,653.82 / $1,653.82 / $3,307.64	Professional		$1,653.82	$1,653.82	$3,307.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.24 / $1,984.58 / $2,224.39	Facility		$159.24	$1,984.58	$2,224.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $1,984.58 / $2,224.39	Professional		$152.76	$1,984.58	$2,224.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,853.66	Professional		$1,590.54	$1,590.54	$1,853.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,653.82 / $1,653.82 / $1,653.82	Facility		$1,653.82	$1,653.82	$1,653.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,306.52 / $1,653.82 / $1,653.82	Professional		$1,306.52	$1,653.82	$1,653.82