Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,200.00	Facility		$1,150.00	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $2,477.25 / $3,146.11	Professional		$839.50	$2,477.25	$3,146.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $16.71 / $18.00	Professional		$14.74	$16.71	$18.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.86 / $600.00 / $1,074.00	Facility		$315.86	$600.00	$1,074.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $466.20 / $1,500.00	Professional		$315.86	$466.20	$1,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $288.24 / $315.86 / $315.86	Facility		$288.24	$315.86	$315.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.74 / $261.74 / $315.86	Professional		$261.74	$261.74	$315.86
United Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $466.20 / $1,500.00	Professional		$350.58	$466.20	$1,500.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $263.00 / $263.00 / $263.00	Facility		$263.00	$263.00	$263.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.77 / $263.00 / $263.00	Professional		$207.77	$263.00	$263.00