Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $694.50	Facility		$11.03	$11.03	$694.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $5.81	Professional		$5.81	$5.81	$5.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $659.34 / $659.34	Professional		$171.28	$659.34	$659.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.22 / $1,317.46 / $1,580.95	Professional		$1,254.22	$1,317.46	$1,580.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $9.01 / $757.86	Facility		$5.81	$9.01	$757.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $584.05 / $656.92 / $659.34	Professional		$584.05	$656.92	$659.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.20 / $643.20 / $643.20	Facility		$643.20	$643.20	$643.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $584.05 / $625.87 / $659.34	Professional		$584.05	$625.87	$659.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $552.78 / $699.72 / $699.72	Professional		$552.78	$699.72	$699.72