Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,089.16	Professional		$2,068.46	$2,068.46	$2,089.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $224.20 / $474.39	Professional		$179.36	$224.20	$474.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $2,068.46 / $3,743.93	Professional		$241.65	$2,068.46	$3,743.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.91 / $3,324.00 / $3,752.76	Facility		$315.91	$3,324.00	$3,752.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,220.57 / $2,220.57 / $4,441.14	Professional		$2,220.57	$2,220.57	$4,441.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.71 / $242.12 / $2,664.69	Facility		$202.71	$242.12	$2,664.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.37 / $271.48 / $2,664.69	Professional		$208.37	$271.48	$2,664.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,691.08	Professional		$2,068.46	$2,068.46	$2,691.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,220.57 / $2,220.57 / $2,220.57	Facility		$2,220.57	$2,220.57	$2,220.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,754.25 / $2,220.57 / $2,220.57	Professional		$1,754.25	$2,220.57	$2,220.57