Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $337.44 / $452.70	Facility		$216.00	$337.44	$452.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $57.93 / $452.70	Professional		$45.00	$57.93	$452.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $280.00 / $448.25	Professional		$23.73	$280.00	$448.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $250.00 / $350.00	Professional		$150.00	$250.00	$350.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $3,302.01 / $4,055.10	Facility		$255.00	$3,302.01	$4,055.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.54 / $4,512.00 / $4,512.00	Professional		$409.54	$4,512.00	$4,512.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.87 / $409.54 / $409.54	Facility		$265.87	$409.54	$409.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.71 / $360.39 / $409.54	Professional		$232.71	$360.39	$409.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $341.00 / $410.00	Professional		$269.39	$341.00	$410.00