Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.51 / $1,462.51 / $1,828.14	Facility		$1,462.51	$1,462.51	$1,828.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $550.00 / $687.50	Professional		$517.29	$550.00	$687.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.22 / $300.25 / $300.25	Professional		$264.22	$300.25	$300.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,212.18 / $1,471.50	Professional		$150.00	$1,212.18	$1,471.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.32 / $440.09 / $874.24	Facility		$248.32	$440.09	$874.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $300.25 / $300.25	Professional		$300.25	$300.25	$300.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.25 / $300.25 / $300.25	Facility		$300.25	$300.25	$300.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $300.25 / $300.25	Professional		$300.25	$300.25	$300.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00