Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.29 / $503.29 / $503.29	Facility		$503.29	$503.29	$503.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.62 / $503.29 / $819.19	Professional		$295.62	$503.29	$819.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Facility		$390.00	$390.00	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Professional		$390.00	$390.00	$397.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,998.15 / $3,397.70 / $3,599.00	Professional		$2,998.15	$3,397.70	$3,599.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.10 / $394.10 / $956.65	Facility		$394.10	$394.10	$956.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $956.93 / $956.93 / $956.93	Professional		$956.93	$956.93	$956.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.40 / $724.40 / $956.93	Professional		$724.40	$724.40	$956.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $568.99 / $720.24 / $720.24	Professional		$568.99	$720.24	$720.24