Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.51 / $247.40 / $247.40	Facility		$208.51	$247.40	$247.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $247.40 / $258.39	Professional		$243.71	$247.40	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $170.83 / $175.95	Professional		$170.83	$170.83	$175.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $451.17 / $477.90	Professional		$398.11	$451.17	$477.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $257.39 / $554.35	Facility		$100.00	$257.39	$554.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.65 / $541.65 / $541.65	Professional		$541.65	$541.65	$541.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $471.01 / $471.01 / $541.65	Professional		$471.01	$471.01	$541.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $356.29 / $451.00 / $451.00	Professional		$356.29	$451.00	$451.00