Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,695.40 / $2,585.12	Facility		$950.00	$1,695.40	$2,585.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $731.50 / $921.50	Professional		$627.00	$731.50	$921.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,725.35 / $2,156.69	Professional		$1,140.00	$1,725.35	$2,156.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $1,282.50 / $1,719.50	Professional		$807.50	$1,282.50	$1,719.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,225.91 / $2,185.00	Facility		$950.00	$1,225.91	$2,185.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $950.00 / $3,729.09	Professional		$570.00	$950.00	$3,729.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $1,508.40 / $1,957.00	Facility		$1,140.00	$1,508.40	$1,957.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,808.54 / $2,422.50	Professional		$1,140.00	$1,808.54	$2,422.50
United Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $570.00 / $1,945.13	Professional		$570.00	$570.00	$1,945.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Professional		$950.00	$950.00	$950.00