Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,249.66	Professional		$1,237.28	$1,237.28	$1,249.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.39 / $1,267.16 / $1,570.86	Professional		$474.39	$1,267.16	$1,570.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $805.50 / $1,237.28 / $2,239.48	Professional		$805.50	$1,237.28	$2,239.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,190.44 / $1,680.00 / $2,012.32	Facility		$1,190.44	$1,680.00	$2,012.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,190.44 / $1,190.44 / $2,380.88	Professional		$1,190.44	$1,190.44	$2,380.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,267.16 / $1,321.96 / $2,012.32	Facility		$1,267.16	$1,321.96	$2,012.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $474.39 / $1,428.53 / $1,739.42	Professional		$474.39	$1,428.53	$1,739.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,336.26	Professional		$1,237.28	$1,237.28	$1,336.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,190.44 / $1,190.44 / $1,190.44	Facility		$1,190.44	$1,190.44	$1,190.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $940.45 / $1,190.44 / $1,190.44	Professional		$940.45	$1,190.44	$1,190.44