Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.20 / $1,908.20 / $2,776.49	Facility		$1,698.20	$1,908.20	$2,776.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.65 / $785.65 / $3,034.40	Professional		$785.65	$785.65	$3,034.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,587.71 / $2,665.34 / $2,742.97	Facility		$2,587.71	$2,665.34	$2,742.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.74 / $1,309.68 / $1,585.31	Professional		$1,047.74	$1,309.68	$1,585.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,731.64 / $2,056.50	Professional		$150.00	$1,731.64	$2,056.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.04 / $563.67 / $1,920.08	Facility		$294.04	$563.67	$1,920.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,511.33 / $1,801.49 / $1,801.49	Professional		$1,511.33	$1,801.49	$1,801.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,801.49 / $2,665.34 / $2,742.97	Facility		$1,801.49	$2,665.34	$2,742.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,511.33 / $1,801.49 / $1,801.49	Professional		$1,511.33	$1,801.49	$1,801.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00