Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,657.34	Professional		$1,640.93	$1,640.93	$1,657.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.24 / $410.30 / $1,836.45	Professional		$328.24	$410.30	$1,836.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.90 / $1,640.93 / $2,970.08	Professional		$1,202.90	$1,640.93	$2,970.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $1,640.93 / $2,773.17	Facility		$1,560.00	$1,640.93	$2,773.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $3,281.86	Professional		$1,640.93	$1,640.93	$3,281.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $386.58 / $1,537.56 / $2,059.16	Facility		$386.58	$1,537.56	$2,059.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.58 / $1,537.56 / $2,059.16	Professional		$386.58	$1,537.56	$2,059.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,083.98	Professional		$1,640.93	$1,640.93	$2,083.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,296.33 / $1,640.93 / $1,640.93	Professional		$1,296.33	$1,640.93	$1,640.93