Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.50 / $837.50 / $2,136.76	Facility		$837.50	$837.50	$2,136.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $837.50 / $7,438.76	Professional		$768.00	$837.50	$7,438.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.96 / $1,370.89 / $1,454.95	Professional		$1,163.96	$1,370.89	$1,454.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $1,142.41 / $3,072.10	Professional		$106.42	$1,142.41	$3,072.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $837.50 / $2,327.39	Facility		$69.00	$837.50	$2,327.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $800.00 / $2,327.39	Professional		$320.00	$800.00	$2,327.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,318.52 / $1,764.68 / $2,753.21	Facility		$1,318.52	$1,764.68	$2,753.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $1,407.67 / $4,804.67	Professional		$74.79	$1,407.67	$4,804.67
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $824.00	Professional		$800.00	$800.00	$824.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Facility		$800.00	$800.00	$800.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00