Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,184.28	Professional		$1,172.56	$1,172.56	$1,184.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.44 / $1,172.56 / $1,431.00	Professional		$307.44	$1,172.56	$1,431.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.47 / $1,172.56 / $2,122.33	Professional		$261.47	$1,172.56	$2,122.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.14 / $1,326.00 / $1,969.51	Facility		$221.14	$1,326.00	$1,969.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $2,330.78	Professional		$1,165.39	$1,165.39	$2,330.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.75 / $1,398.47 / $1,431.00	Facility		$110.75	$1,398.47	$1,431.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $1,398.47 / $1,431.00	Professional		$113.84	$1,398.47	$1,431.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,289.82	Professional		$1,172.56	$1,172.56	$1,289.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $1,165.39	Facility		$1,165.39	$1,165.39	$1,165.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $920.66 / $1,165.39 / $1,165.39	Professional		$920.66	$1,165.39	$1,165.39