Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $2,944.00 / $3,128.00	Professional		$2,944.00	$2,944.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $649.99 / $728.87	Professional		$540.00	$649.99	$728.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $620.74 / $761.38	Professional		$150.00	$620.74	$761.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $728.87 / $1,667.50 / $2,254.46	Facility		$728.87	$1,667.50	$2,254.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,200.00 / $4,991.00	Professional		$2,880.00	$3,200.00	$4,991.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $610.24 / $715.50 / $817.26	Facility		$610.24	$715.50	$817.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $627.29 / $666.24 / $817.26	Professional		$627.29	$666.24	$817.26
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,520.00	Professional		$3,200.00	$3,200.00	$3,520.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $500.00 / $500.00	Professional		$395.00	$500.00	$500.00