Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.70 / $2,794.02 / $3,492.51	Facility		$1,799.70	$2,794.02	$3,492.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.26 / $988.26 / $1,463.00	Professional		$988.26	$988.26	$1,463.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,593.42 / $2,671.23 / $2,749.04	Facility		$2,593.42	$2,671.23	$2,749.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.94 / $1,454.93 / $1,585.31	Professional		$1,163.94	$1,454.93	$1,585.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,068.67 / $2,515.50	Professional		$150.00	$2,068.67	$2,515.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.04 / $563.67 / $2,070.67	Facility		$294.04	$563.67	$2,070.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,514.65 / $1,514.65 / $1,801.49	Professional		$1,514.65	$1,514.65	$1,801.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,801.49 / $2,671.23 / $2,749.04	Facility		$1,801.49	$2,671.23	$2,749.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,514.65 / $1,801.49 / $1,801.49	Professional		$1,514.65	$1,801.49	$1,801.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,185.00 / $1,500.00 / $1,500.00	Professional		$1,185.00	$1,500.00	$1,500.00