Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.84 / $1,800.00 / $1,964.52	Facility		$797.84	$1,800.00	$1,964.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $1,386.40 / $4,264.24	Professional		$636.59	$1,386.40	$4,264.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.16 / $752.68 / $845.20	Professional		$676.16	$752.68	$845.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $1,098.00 / $2,340.00	Professional		$636.59	$1,098.00	$2,340.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $796.37 / $1,800.00	Facility		$528.58	$796.37	$1,800.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $528.58 / $996.51	Professional		$528.58	$528.58	$996.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $634.29 / $964.40 / $1,393.02	Facility		$634.29	$964.40	$1,393.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $855.32 / $1,992.23	Professional		$634.29	$855.32	$1,992.23
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $655.69	Professional		$636.59	$636.59	$655.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $528.58 / $528.58	Facility		$528.58	$528.58	$528.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $528.58 / $528.58	Professional		$528.58	$528.58	$528.58