Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,195.20 / $1,269.90	Professional		$1,195.20	$1,195.20	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $370.78 / $1,603.32	Professional		$296.63	$370.78	$1,603.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,836.00 / $2,252.00	Professional		$150.00	$1,836.00	$2,252.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,494.00 / $2,031.84	Facility		$1,195.20	$1,494.00	$2,031.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $2,490.00	Professional		$1,245.00	$1,245.00	$2,490.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $370.70 / $370.70 / $1,603.32	Facility		$370.70	$370.70	$1,603.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $1,603.32 / $1,603.32	Professional		$370.70	$1,603.32	$1,603.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,344.60	Professional		$1,245.00	$1,245.00	$1,344.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $1,335.00 / $1,335.00	Facility		$1,335.00	$1,335.00	$1,335.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,054.65 / $1,335.00 / $1,335.00	Professional		$1,054.65	$1,335.00	$1,335.00