Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,459.05 / $2,040.89	Facility		$750.00	$1,459.05	$2,040.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $577.50 / $727.50	Professional		$495.00	$577.50	$727.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,362.39 / $1,702.99	Professional		$900.00	$1,362.39	$1,702.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $1,012.50 / $3,833.33	Professional		$637.50	$1,012.50	$3,833.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $967.82 / $1,920.00	Facility		$750.00	$967.82	$1,920.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $503.25 / $2,817.95	Professional		$450.00	$503.25	$2,817.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,138.78 / $1,643.69	Facility		$900.00	$1,138.78	$1,643.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,371.56 / $1,957.50	Professional		$900.00	$1,371.56	$1,957.50
United Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $2,420.33	Professional		$450.00	$450.00	$2,420.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00