Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.58 / $275.70 / $275.70	Facility		$273.58	$275.70	$275.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.31 / $275.70 / $275.70	Professional		$260.31	$275.70	$275.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.63 / $226.63 / $226.63	Professional		$226.63	$226.63	$226.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $605.77 / $686.50 / $727.17	Professional		$605.77	$686.50	$727.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $465.95	Facility		$90.00	$100.00	$465.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.90 / $357.90 / $357.90	Professional		$357.90	$357.90	$357.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $310.92 / $310.92 / $357.90	Professional		$310.92	$310.92	$357.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $235.42 / $298.00 / $298.00	Professional		$235.42	$298.00	$298.00