Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $375.66 / $469.60	Facility		$156.80	$375.66	$469.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $306.25	Professional		$132.88	$132.88	$306.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.33 / $525.64 / $540.95	Facility		$510.33	$525.64	$540.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $349.49	Professional		$307.55	$307.55	$349.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $346.63 / $421.50	Professional		$150.00	$346.63	$421.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $162.69 / $414.83	Facility		$91.68	$162.69	$414.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $298.05 / $349.49	Professional		$298.05	$298.05	$349.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $349.49 / $525.64 / $540.95	Facility		$349.49	$525.64	$540.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $349.49 / $349.49	Professional		$298.05	$349.49	$349.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $53.43 / $53.43	Professional		$42.21	$53.43	$53.43