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 / $577.50	Professional		$495.00	$577.50	$577.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $1,362.39 / $1,702.99	Professional		$861.93	$1,362.39	$1,702.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $975.00 / $1,312.50	Professional		$637.50	$975.00	$1,312.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $975.00 / $2,929.71	Facility		$750.00	$975.00	$2,929.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $1,935.41	Professional		$450.00	$450.00	$1,935.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $900.75 / $1,312.50 / $2,062.83	Facility		$900.75	$1,312.50	$2,062.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,312.50 / $1,935.41	Professional		$900.00	$1,312.50	$1,935.41
United Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $1,635.00	Professional		$450.00	$450.00	$1,635.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $592.50 / $750.00 / $750.00	Professional		$592.50	$750.00	$750.00