Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.00 / $1,269.09 / $2,759.91	Facility		$1,197.00	$1,269.09	$2,759.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.96 / $780.96 / $1,795.20	Professional		$780.96	$780.96	$1,795.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,542.66 / $1,588.94 / $1,635.22	Facility		$1,542.66	$1,588.94	$1,635.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.22 / $945.89 / $1,026.53	Professional		$821.22	$945.89	$1,026.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,134.05 / $2,595.00	Professional		$150.00	$2,134.05	$2,595.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.04 / $563.67 / $1,235.52	Facility		$294.04	$563.67	$1,235.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $900.97 / $900.97 / $1,074.88	Professional		$900.97	$900.97	$1,074.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,074.88 / $1,588.94 / $1,635.22	Facility		$1,074.88	$1,588.94	$1,635.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $900.97 / $1,074.88 / $1,074.88	Professional		$900.97	$1,074.88	$1,074.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.05 / $895.00 / $895.00	Professional		$707.05	$895.00	$895.00