Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,466.78	Professional		$1,452.25	$1,452.25	$1,466.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.76 / $1,973.99 / $2,257.73	Professional		$303.76	$1,973.99	$2,257.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.80 / $1,452.25 / $2,628.57	Professional		$1,161.80	$1,452.25	$2,628.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,725.04 / $2,533.29 / $3,138.00	Facility		$1,725.04	$2,533.29	$3,138.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,725.04 / $1,725.04 / $3,450.08	Professional		$1,725.04	$1,725.04	$3,450.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,776.11 / $1,973.99 / $2,336.98	Facility		$1,776.11	$1,973.99	$2,336.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $303.76 / $2,025.39 / $2,336.98	Professional		$303.76	$2,025.39	$2,336.98
United Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Facility		$1.64	$1.64	$1.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,597.48	Professional		$1,452.25	$1,452.25	$1,597.48
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,725.04 / $1,725.04 / $1,725.04	Facility		$1,725.04	$1,725.04	$1,725.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,362.78 / $1,725.04 / $1,725.04	Professional		$1,362.78	$1,725.04	$1,725.04