Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,407.05	Professional		$1,393.12	$1,393.12	$1,407.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,678.13 / $2,106.00 / $2,632.50	Professional		$1,678.13	$2,106.00	$2,632.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.50 / $1,393.12 / $2,521.55	Professional		$1,114.50	$1,393.12	$2,521.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $2,340.00 / $2,895.27	Facility		$1,713.18	$2,340.00	$2,895.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,713.18 / $1,713.18 / $3,426.36	Professional		$1,713.18	$1,713.18	$3,426.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,929.92 / $1,929.92 / $2,055.82	Facility		$1,929.92	$1,929.92	$2,055.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,929.92 / $1,929.92 / $2,055.82	Professional		$1,929.92	$1,929.92	$2,055.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,812.45	Professional		$1,393.12	$1,393.12	$1,812.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $1,713.18 / $1,713.18	Facility		$1,713.18	$1,713.18	$1,713.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,353.41 / $1,713.18 / $1,713.18	Professional		$1,353.41	$1,713.18	$1,713.18