Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.02 / $678.78 / $678.78	Facility		$627.02	$678.78	$678.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.01 / $678.78 / $736.87	Professional		$535.01	$678.78	$736.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Facility		$536.83	$536.83	$536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.83 / $536.83 / $552.92	Professional		$536.83	$536.83	$552.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.59 / $1,336.80 / $1,416.00	Professional		$1,179.59	$1,336.80	$1,416.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.82 / $678.78 / $1,282.80	Facility		$233.82	$678.78	$1,282.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.19 / $228.19 / $228.19	Professional		$228.19	$228.19	$228.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $198.66 / $228.19	Professional		$198.66	$198.66	$228.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $190.00 / $190.00	Professional		$150.10	$190.00	$190.00