Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $501.19 / $630.96	Professional		$91.20	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $489.78	Professional		$275.42	$416.87	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $162.18	Facility		$74.13	$89.13	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $69.18	Professional		$58.88	$60.26	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $69.18	Professional		$60.26	$60.26	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54