Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $9,946.79	Facility		$4,500.00	$4,500.00	$9,946.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,500.00	Professional		$3,600.00	$3,600.00	$4,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,817.25 / $1,817.25 / $2,271.56	Professional		$1,817.25	$1,817.25	$2,271.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,567.62 / $2,837.39	Professional		$150.00	$1,567.62	$2,837.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.51 / $4,146.34 / $5,544.00	Facility		$573.51	$4,146.34	$5,544.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $672.35 / $3,750.00 / $4,627.50	Professional		$672.35	$3,750.00	$4,627.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $492.08 / $849.85 / $8,292.68	Facility		$492.08	$849.85	$8,292.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.08 / $672.35 / $988.81	Professional		$492.08	$672.35	$988.81
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,125.00	Professional		$3,750.00	$3,750.00	$4,125.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Facility		$3,750.00	$3,750.00	$3,750.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,962.50 / $3,750.00 / $3,750.00	Professional		$2,962.50	$3,750.00	$3,750.00