Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $495.00	Professional		$450.00	$450.00	$495.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,104.00 / $1,104.00 / $1,380.00	Facility		$1,104.00	$1,104.00	$1,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $741.00 / $926.25	Professional		$741.00	$741.00	$926.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $760.50 / $760.50	Facility		$450.00	$760.50	$760.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.20 / $207.20 / $207.20	Facility		$207.20	$207.20	$207.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $207.20 / $216.18	Professional		$188.16	$207.20	$216.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00