Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.80 / $434.00 / $1,836.09	Facility		$387.80	$434.00	$1,836.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.00 / $519.54 / $519.54	Professional		$388.00	$519.54	$519.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $265.89 / $273.64	Facility		$258.14	$265.89	$273.64
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 / $1,064.56 / $1,294.50	Professional		$150.00	$1,064.56	$1,294.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.15 / $984.50 / $2,180.39	Facility		$180.15	$984.50	$2,180.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $150.77 / $180.15	Professional		$150.77	$150.77	$180.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.15 / $265.89 / $273.64	Facility		$180.15	$265.89	$273.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $180.15 / $180.15	Professional		$150.77	$180.15	$180.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $150.00 / $150.00	Professional		$118.50	$150.00	$150.00