Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,848.13 / $2,585.12	Facility		$950.00	$1,848.13	$2,585.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $731.50 / $731.50	Professional		$627.00	$731.50	$731.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,565.00 / $2,641.95 / $2,718.90	Facility		$2,565.00	$2,641.95	$2,718.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,725.35 / $2,156.69	Professional		$1,091.56	$1,725.35	$2,156.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $1,235.00 / $1,719.50	Professional		$807.50	$1,235.00	$1,719.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,225.91 / $3,735.59	Facility		$950.00	$1,225.91	$3,735.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $570.00 / $2,402.55	Professional		$570.00	$570.00	$2,402.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,140.95 / $1,737.31 / $2,641.95	Facility		$1,140.95	$1,737.31	$2,641.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,869.31 / $2,479.50	Professional		$1,140.00	$1,869.31	$2,479.50
United Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $570.00 / $2,071.00	Professional		$570.00	$570.00	$2,071.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.50 / $950.00 / $950.00	Professional		$750.50	$950.00	$950.00