Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,441.72	Professional		$1,427.45	$1,427.45	$1,441.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.50 / $1,692.08 / $2,115.09	Professional		$1,664.50	$1,692.08	$2,115.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.33 / $2,583.67 / $5,775.22	Professional		$1,213.33	$2,583.67	$5,775.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $1,740.00 / $2,261.69	Facility		$1,370.73	$1,740.00	$2,261.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,370.73 / $1,370.73 / $2,741.46	Professional		$1,370.73	$1,370.73	$2,741.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,644.88 / $1,664.50 / $2,189.33	Facility		$1,644.88	$1,664.50	$2,189.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,644.88 / $1,664.50 / $2,189.33	Professional		$1,644.88	$1,664.50	$2,189.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,288.69 / $2,288.69 / $2,288.69	Facility		$2,288.69	$2,288.69	$2,288.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,541.65	Professional		$1,427.45	$1,427.45	$1,541.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $1,370.73 / $1,370.73	Facility		$1,370.73	$1,370.73	$1,370.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,082.88 / $1,370.73 / $1,370.73	Professional		$1,082.88	$1,370.73	$1,370.73