Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.33 / $238.98 / $238.98	Facility		$202.33	$238.98	$238.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $238.98 / $287.22	Professional		$238.98	$238.98	$287.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Facility		$180.13	$180.13	$180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $180.13 / $185.53	Professional		$180.13	$180.13	$185.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $589.79 / $668.40 / $708.00	Professional		$589.79	$668.40	$708.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $238.98 / $575.12	Facility		$100.00	$238.98	$575.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.05 / $562.05 / $562.05	Professional		$562.05	$562.05	$562.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $490.65 / $490.65 / $562.05	Professional		$490.65	$490.65	$562.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $369.72 / $468.00 / $468.00	Professional		$369.72	$468.00	$468.00