Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $336.05 / $336.05	Facility		$336.05	$336.05	$336.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $336.05 / $821.74	Professional		$336.05	$336.05	$821.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $413.10	Facility		$405.00	$405.00	$413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $750.00 / $937.50	Professional		$405.00	$750.00	$937.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,291.08 / $3,729.67 / $4,857.93	Professional		$3,291.08	$3,729.67	$4,857.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $374.50 / $1,205.57	Facility		$336.05	$374.50	$1,205.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $948.28 / $948.28 / $948.28	Professional		$948.28	$948.28	$948.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $948.28 / $973.66 / $973.66	Professional		$948.28	$973.66	$973.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $563.85 / $713.74 / $713.74	Professional		$563.85	$713.74	$713.74