Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,356.32 / $2,068.10	Facility		$760.00	$1,356.32	$2,068.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.60 / $585.20 / $585.20	Professional		$501.60	$585.20	$585.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $1,380.67 / $1,725.84	Professional		$873.50	$1,380.67	$1,725.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $988.00 / $1,375.60	Professional		$646.00	$988.00	$1,375.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $980.73 / $2,855.53	Facility		$760.00	$980.73	$2,855.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $483.74 / $1,748.00	Professional		$456.00	$483.74	$1,748.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.75 / $1,389.85 / $1,714.97	Facility		$912.75	$1,389.85	$1,714.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,565.60 / $1,983.60	Professional		$912.00	$1,565.60	$1,983.60
United Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,748.00	Facility		$760.00	$760.00	$1,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $456.00 / $1,556.10	Professional		$456.00	$456.00	$1,556.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.40 / $760.00 / $760.00	Professional		$600.40	$760.00	$760.00