Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $352.39 / $352.39	Professional		$352.39	$352.39	$352.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $113.06 / $141.32	Professional		$113.06	$113.06	$141.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $90.63 / $575.50	Professional		$47.83	$90.63	$575.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.40 / $362.21 / $1,914.00	Facility		$120.40	$362.21	$1,914.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $134.93 / $1,776.11	Professional		$57.01	$134.93	$1,776.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $126.69 / $190.19	Facility		$96.88	$126.69	$190.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $126.69 / $447.00	Professional		$88.25	$126.69	$447.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $134.55 / $349.52	Professional		$57.01	$134.55	$349.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $112.10 / $131.90	Professional		$88.56	$112.10	$131.90