Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,921.65	Professional		$1,902.62	$1,902.62	$1,921.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.24 / $2,394.26 / $2,992.83	Professional		$380.24	$2,394.26	$2,992.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.10 / $1,902.62 / $3,443.74	Professional		$1,522.10	$1,902.62	$3,443.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.09 / $2,700.00 / $3,445.07	Facility		$432.09	$2,700.00	$3,445.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $4,077.00	Professional		$2,038.50	$2,038.50	$4,077.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $2,446.19 / $2,819.91	Facility		$79.06	$2,446.19	$2,819.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $2,446.19 / $2,819.91	Professional		$81.29	$2,446.19	$2,819.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,475.31	Professional		$1,902.62	$1,902.62	$2,475.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $2,038.50	Facility		$2,038.50	$2,038.50	$2,038.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,610.42 / $2,038.50 / $2,038.50	Professional		$1,610.42	$2,038.50	$2,038.50