Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.12 / $1,036.34 / $2,072.69	Facility		$621.12	$1,036.34	$2,072.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $176.54 / $187.57	Professional		$176.54	$176.54	$187.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.75 / $262.27 / $316.08	Facility		$201.75	$262.27	$316.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $264.63	Professional		$187.57	$187.57	$264.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $200.00 / $642.70	Professional		$150.00	$200.00	$642.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $235.38 / $408.45	Facility		$176.54	$235.38	$408.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $790.40 / $790.40 / $790.40	Professional		$790.40	$790.40	$790.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $216.55 / $235.38 / $316.08	Facility		$216.55	$235.38	$316.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $241.22 / $241.22 / $241.22	Facility		$241.22	$241.22	$241.22