Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $575.28 / $655.69	Facility		$575.28	$575.28	$655.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.28 / $575.28 / $750.00	Professional		$575.28	$575.28	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.05 / $1,495.05 / $1,495.05	Professional		$1,495.05	$1,495.05	$1,495.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $759.90 / $1,400.87	Facility		$575.28	$759.90	$1,400.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,057.71 / $1,057.71 / $1,057.71	Professional		$1,057.71	$1,057.71	$1,057.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,057.71 / $1,057.71 / $1,057.71	Professional		$1,057.71	$1,057.71	$1,057.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Facility		$1,050.00	$1,050.00	$1,050.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $1,050.00 / $1,050.00	Professional		$829.50	$1,050.00	$1,050.00