Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,009.35	Professional		$2,979.56	$2,979.56	$3,009.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $3,435.76 / $3,435.76	Professional		$2,979.55	$3,435.76	$3,435.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $914.70 / $2,979.56 / $5,393.00	Professional		$914.70	$2,979.56	$5,393.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,850.00 / $2,901.66 / $4,903.81	Facility		$2,850.00	$2,901.66	$4,903.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,901.66 / $2,901.66 / $5,803.32	Professional		$2,901.66	$2,901.66	$5,803.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,435.76 / $3,435.76 / $3,481.99	Facility		$3,435.76	$3,435.76	$3,481.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,435.76 / $3,435.76 / $3,481.99	Professional		$3,435.76	$3,435.76	$3,481.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,217.92	Professional		$2,979.56	$2,979.56	$3,217.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $2,901.66 / $2,901.66	Facility		$2,901.66	$2,901.66	$2,901.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,292.31 / $2,901.66 / $2,901.66	Professional		$2,292.31	$2,901.66	$2,901.66