Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,400.69 / $1,959.25	Facility		$720.00	$1,400.69	$1,959.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $554.40 / $554.40	Professional		$554.40	$554.40	$554.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $1,307.56 / $1,634.45	Professional		$827.24	$1,307.56	$1,634.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $936.00 / $1,260.00	Professional		$612.00	$936.00	$1,260.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $929.11 / $2,764.07	Facility		$720.00	$929.11	$2,764.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $1,656.00	Professional		$432.00	$432.00	$1,656.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $864.71 / $1,260.00 / $1,577.94	Facility		$864.71	$1,260.00	$1,577.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,260.00 / $1,577.94	Professional		$864.00	$1,260.00	$1,577.94
United Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Facility		$720.00	$720.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $1,474.20	Professional		$432.00	$432.00	$1,474.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $568.79 / $720.00 / $720.00	Professional		$568.79	$720.00	$720.00