Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $37.39 / $86.10	Facility		$8.46	$37.39	$86.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $80.95	Professional		$10.58	$10.58	$80.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.39 / $711.10 / $731.81	Facility		$690.39	$711.10	$731.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $37.54 / $422.75	Professional		$30.03	$37.54	$422.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $185.53 / $195.77	Professional		$120.00	$185.53	$195.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $137.22 / $552.17	Facility		$18.94	$137.22	$552.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.21 / $403.21 / $480.40	Professional		$403.21	$403.21	$480.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.40 / $711.10 / $731.81	Facility		$480.40	$711.10	$731.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.21 / $480.40 / $480.40	Professional		$403.21	$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