Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $2,501.75	Professional		$1,908.26	$1,908.26	$2,501.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17,851.90 / $20,230.95 / $21,429.55	Professional		$17,851.90	$20,230.95	$21,429.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,908.26 / $4,478.13	Facility		$100.00	$1,908.26	$4,478.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.59 / $720.59 / $720.59	Professional		$720.59	$720.59	$720.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $720.59 / $720.59 / $720.59	Facility		$720.59	$720.59	$720.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.59 / $720.59 / $720.59	Professional		$720.59	$720.59	$720.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $600.00 / $600.00	Professional		$474.00	$600.00	$600.00