Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.11 / $2,066.92 / $2,780.28	Facility		$1,309.11	$2,066.92	$2,780.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $748.07 / $748.07	Professional		$748.07	$748.07	$748.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,974.11 / $1,974.11	Professional		$150.00	$1,974.11	$1,974.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,264.24 / $1,264.24 / $1,449.53	Facility		$1,264.24	$1,264.24	$1,449.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,003.52 / $1,226.53 / $1,561.04	Facility		$1,003.52	$1,226.53	$1,561.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $779.24 / $779.24 / $779.24	Facility		$779.24	$779.24	$779.24