Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.44 / $412.99 / $412.99	Facility		$375.44	$412.99	$412.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $412.99 / $412.99	Professional		$240.80	$412.99	$412.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Professional		$296.00	$296.00	$296.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $795.24 / $901.22 / $954.62	Professional		$795.24	$901.22	$954.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $412.99 / $702.08	Facility		$100.00	$412.99	$702.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $236.60 / $236.60	Professional		$236.60	$236.60	$236.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $206.17 / $236.60	Professional		$206.17	$206.17	$236.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $197.00 / $197.00	Professional		$155.63	$197.00	$197.00