Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $168.72 / $226.35	Facility		$108.00	$168.72	$226.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $126.00 / $247.89	Professional		$38.00	$126.00	$247.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $126.00 / $182.41	Professional		$93.52	$126.00	$182.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $100.00 / $150.00	Professional		$81.50	$100.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $3,302.01 / $4,055.10	Facility		$102.00	$3,302.01	$4,055.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $637.59 / $637.59	Professional		$144.16	$637.59	$637.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.41 / $163.82 / $163.82	Facility		$106.41	$163.82	$163.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $144.16 / $163.82	Professional		$93.15	$144.16	$163.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $136.40 / $164.00	Professional		$107.76	$136.40	$164.00