Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,980.61	Professional		$1,961.00	$1,961.00	$1,980.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,052.00 / $2,332.37 / $2,565.00	Professional		$2,052.00	$2,332.37	$2,565.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $706.66 / $1,961.00 / $3,549.41	Professional		$706.66	$1,961.00	$3,549.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,400.00 / $3,314.09	Facility		$1,961.00	$2,400.00	$3,314.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $3,922.00	Professional		$1,961.00	$1,961.00	$3,922.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,952.77 / $2,416.80 / $2,615.23	Facility		$1,952.77	$2,416.80	$2,615.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,007.31 / $2,416.80 / $2,615.23	Professional		$2,007.31	$2,416.80	$2,615.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,400.63	Professional		$1,961.00	$1,961.00	$2,400.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,549.19 / $1,961.00 / $1,961.00	Professional		$1,549.19	$1,961.00	$1,961.00