Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.10 / $1,017.97 / $1,419.33	Facility		$954.10	$1,017.97	$1,419.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.42 / $401.62 / $1,357.60	Professional		$369.42	$401.62	$1,357.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.16 / $680.99 / $700.83	Facility		$661.16	$680.99	$700.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.77 / $442.60 / $553.25	Professional		$404.77	$442.60	$553.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $743.83 / $904.50	Professional		$150.00	$743.83	$904.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.04 / $459.97 / $680.99	Facility		$294.04	$459.97	$680.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.13 / $386.13 / $459.97	Professional		$386.13	$386.13	$459.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $459.97 / $680.99 / $700.83	Facility		$459.97	$680.99	$700.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.13 / $459.97 / $459.97	Professional		$386.13	$459.97	$459.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.57 / $383.00 / $383.00	Professional		$302.57	$383.00	$383.00