Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $112.48 / $150.90	Facility		$72.00	$112.48	$150.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $73.73 / $149.68	Professional		$38.00	$73.73	$149.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $59.43 / $89.65	Professional		$25.12	$59.43	$89.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $50.00 / $81.84	Professional		$42.41	$50.00	$81.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $3,302.01 / $4,055.10	Facility		$51.00	$3,302.01	$4,055.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $1,881.90 / $1,881.90	Professional		$72.08	$1,881.90	$1,881.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $81.90 / $81.90	Facility		$53.32	$81.90	$81.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $72.08 / $81.90	Professional		$46.66	$72.08	$81.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $68.20 / $82.00	Professional		$53.88	$68.20	$82.00