Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.10 / $855.40 / $1,723.11	Facility		$807.10	$855.40	$1,723.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $487.58 / $922.50	Professional		$341.88	$487.58	$922.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.64 / $443.56 / $456.48	Facility		$430.64	$443.56	$456.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.22 / $300.25 / $360.67	Professional		$264.22	$300.25	$360.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $943.67 / $1,147.50	Professional		$150.00	$943.67	$1,147.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.02 / $487.58 / $2,097.94	Facility		$307.02	$487.58	$2,097.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.52 / $300.25 / $300.25	Professional		$251.52	$300.25	$300.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.25 / $443.56 / $456.48	Facility		$300.25	$443.56	$456.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.52 / $300.25 / $300.25	Professional		$251.52	$300.25	$300.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $197.50 / $250.00 / $250.00	Professional		$197.50	$250.00	$250.00