Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.40 / $699.30 / $1,059.63	Facility		$659.40	$699.30	$1,059.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $299.83 / $415.21	Professional		$299.83	$299.83	$415.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.23 / $267.01 / $274.77	Facility		$259.23	$267.01	$274.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.53 / $172.99 / $216.24	Professional		$158.53	$172.99	$216.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $687.09 / $835.50	Professional		$150.00	$687.09	$835.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $175.75 / $506.73	Facility		$91.68	$175.75	$506.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $151.40 / $180.15	Professional		$151.40	$151.40	$180.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.15 / $267.01 / $274.77	Facility		$180.15	$267.01	$274.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $180.15 / $180.15	Professional		$151.40	$180.15	$180.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $53.40 / $53.40	Professional		$42.19	$53.40	$53.40