Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,897.79	Facility		$1,778.28	$1,778.28	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $1,905.46	Professional		$1,778.28	$1,819.70	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,344.23	Professional		$1,862.09	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,949.84 / $2,511.89	Professional		$275.42	$1,949.84	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $4,073.80	Facility		$1,778.28	$2,187.76	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,890.45	Professional		$2,187.76	$2,187.76	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2,187.76 / $4,265.80	Facility		$2.19	$2,187.76	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,344.23	Professional		$2,187.76	$2,187.76	$2,344.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76