Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,478.51 / $2,068.10	Facility		$760.00	$1,478.51	$2,068.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.60 / $585.20 / $737.20	Professional		$501.60	$585.20	$737.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,052.00 / $2,113.56 / $2,175.12	Facility		$2,052.00	$2,113.56	$2,175.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,380.67 / $1,725.84	Professional		$912.00	$1,380.67	$1,725.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $1,026.00 / $3,884.44	Professional		$646.00	$1,026.00	$3,884.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $980.73 / $1,945.60	Facility		$760.00	$980.73	$1,945.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $509.96 / $2,988.47	Professional		$456.00	$509.96	$2,988.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,389.85 / $2,113.56	Facility		$912.00	$1,389.85	$2,113.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,389.85 / $1,983.60	Professional		$912.00	$1,389.85	$1,983.60
United Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $456.00 / $1,656.80	Professional		$456.00	$456.00	$1,656.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Professional		$760.00	$760.00	$760.00