Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.34 / $154.34 / $154.34	Professional		$154.34	$154.34	$154.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $228.75	Professional		$183.00	$183.00	$228.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $280.55 / $328.96	Professional		$150.00	$280.55	$328.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $578.78 / $578.78	Facility		$146.62	$578.78	$578.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $133.31 / $133.31	Professional		$133.31	$133.31	$133.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.31 / $133.31 / $133.31	Facility		$133.31	$133.31	$133.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $133.31 / $133.31	Professional		$133.31	$133.31	$133.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $130.83 / $130.83 / $130.83	Facility		$130.83	$130.83	$130.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $130.83 / $130.83	Professional		$130.83	$130.83	$130.83