Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.28 / $1,478.51 / $2,068.10	Facility		$819.28	$1,478.51	$2,068.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.60 / $661.20 / $737.20	Professional		$501.60	$661.20	$737.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.75 / $1,380.67 / $1,725.84	Professional		$912.75	$1,380.67	$1,725.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $883.50 / $1,330.00	Professional		$646.00	$883.50	$1,330.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $980.73 / $2,029.20	Facility		$760.00	$980.73	$2,029.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $760.00 / $2,307.81	Professional		$361.26	$760.00	$2,307.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,196.67 / $2,207.75	Facility		$912.00	$1,196.67	$2,207.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,196.67 / $1,665.61	Professional		$912.00	$1,196.67	$1,665.61
United Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $456.00 / $1,406.00	Professional		$361.26	$456.00	$1,406.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Professional		$760.00	$760.00	$760.00