Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.61 / $556.61 / $795.15	Facility		$556.61	$556.61	$795.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $613.60	Professional		$225.00	$225.00	$613.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.22 / $360.73 / $371.23	Facility		$350.22	$360.73	$371.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.16 / $206.45 / $214.54	Professional		$165.16	$206.45	$214.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $801.81 / $975.00	Professional		$150.00	$801.81	$975.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.80 / $317.20 / $457.39	Facility		$243.80	$317.20	$457.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $204.54 / $243.80	Professional		$204.54	$204.54	$243.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $243.80 / $360.73 / $371.23	Facility		$243.80	$360.73	$371.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $243.80 / $243.80	Professional		$204.54	$243.80	$243.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $203.00 / $203.00	Professional		$160.37	$203.00	$203.00