Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $37.39 / $180.60	Facility		$8.46	$37.39	$180.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $693.26	Professional		$10.58	$10.58	$693.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $689.34 / $710.02 / $730.70	Facility		$689.34	$710.02	$730.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.14 / $403.92 / $422.75	Professional		$323.14	$403.92	$422.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $846.22 / $1,029.00	Professional		$150.00	$846.22	$1,029.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $440.09 / $552.17	Facility		$18.94	$440.09	$552.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $402.61 / $480.40	Professional		$402.61	$402.61	$480.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.40 / $710.02 / $730.70	Facility		$480.40	$710.02	$730.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $480.40 / $480.40	Professional		$402.61	$480.40	$480.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $400.00 / $400.00	Professional		$316.00	$400.00	$400.00