Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.50 / $1,857.86 / $2,322.33	Facility		$997.50	$1,857.86	$2,322.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.14 / $657.14 / $1,795.20	Professional		$657.14	$657.14	$1,795.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.89 / $1,014.44 / $1,043.98	Facility		$984.89	$1,014.44	$1,043.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.41 / $658.02 / $822.53	Professional		$602.41	$658.02	$822.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,965.06 / $2,389.50	Professional		$150.00	$1,965.06	$2,389.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $684.57 / $1,037.98 / $2,180.39	Facility		$684.57	$1,037.98	$2,180.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.20 / $575.20 / $684.57	Professional		$575.20	$575.20	$684.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $684.57 / $1,014.44 / $1,043.98	Facility		$684.57	$1,014.44	$1,043.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.20 / $684.57 / $684.57	Professional		$575.20	$684.57	$684.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $570.00 / $570.00	Professional		$450.30	$570.00	$570.00