Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $441.00 / $441.00	Facility		$441.00	$441.00	$441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $441.90 / $552.38	Professional		$441.90	$441.90	$552.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,300.75 / $1,300.75	Professional		$150.00	$1,300.75	$1,300.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.85 / $798.24 / $1,353.99	Facility		$552.85	$798.24	$1,353.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $515.60 / $672.13 / $1,111.78	Professional		$515.60	$672.13	$1,111.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $552.85 / $706.52 / $1,068.08	Facility		$552.85	$706.52	$1,068.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $552.85 / $706.52 / $982.29	Professional		$552.85	$706.52	$982.29
United Facility/Professional Professional Modifier Low / Median / High Price $483.09 / $672.13 / $1,111.78	Professional		$483.09	$672.13	$1,111.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $450.50 / $450.50	Professional		$450.50	$450.50	$450.50