Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $147.69 / $1,305.59	Facility		$94.00	$147.69	$1,305.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.44 / $369.44 / $430.40	Professional		$369.44	$369.44	$430.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.84 / $532.35 / $547.85	Facility		$516.84	$532.35	$547.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $317.06 / $332.93	Professional		$266.33	$317.06	$332.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $592.10 / $720.00	Professional		$150.00	$592.10	$720.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.04 / $384.36 / $624.35	Facility		$294.04	$384.36	$624.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.86 / $301.86 / $360.30	Professional		$301.86	$301.86	$360.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $360.30 / $532.35 / $547.85	Facility		$360.30	$532.35	$547.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $301.86 / $360.30 / $360.30	Professional		$301.86	$360.30	$360.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $300.00 / $300.00	Professional		$237.00	$300.00	$300.00