Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,922.54 / $4,922.54 / $4,922.54	Facility		$4,922.54	$4,922.54	$4,922.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,870.00	Professional		$1,760.00	$1,760.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,642.18 / $2,642.18	Professional		$1,870.00	$2,642.18	$2,642.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,946.16 / $2,387.12	Professional		$150.00	$1,946.16	$2,387.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $2,200.00 / $2,992.00	Facility		$1,760.00	$2,200.00	$2,992.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $4,400.00	Professional		$2,200.00	$2,200.00	$4,400.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,642.18 / $2,642.18 / $2,642.18	Facility		$2,642.18	$2,642.18	$2,642.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,642.18 / $2,642.18 / $2,642.18	Professional		$2,642.18	$2,642.18	$2,642.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,566.67	Professional		$2,200.00	$2,200.00	$2,566.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Facility		$2,200.00	$2,200.00	$2,200.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,738.00 / $2,200.00 / $2,200.00	Professional		$1,738.00	$2,200.00	$2,200.00