Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.72 / $282.72 / $335.59	Facility		$282.72	$282.72	$335.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.09 / $380.16 / $391.24	Facility		$369.09	$380.16	$391.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.94 / $221.94 / $252.21	Professional		$221.94	$221.94	$252.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $566.20 / $688.50	Professional		$150.00	$566.20	$688.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.32 / $289.89 / $457.39	Facility		$248.32	$289.89	$457.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $215.56 / $252.21	Professional		$215.56	$215.56	$252.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.21 / $380.16 / $391.24	Facility		$252.21	$380.16	$391.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $252.21 / $252.21	Professional		$215.56	$252.21	$252.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $171.36 / $171.36	Professional		$135.37	$171.36	$171.36