Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.29 / $1,653.95 / $5,747.00	Facility		$564.29	$1,653.95	$5,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $60.88 / $118.26	Professional		$60.88	$60.88	$118.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $45.06 / $45.06	Professional		$27.48	$45.06	$45.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $106.08 / $194.07	Professional		$90.17	$106.08	$194.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $35.40 / $93.76	Facility		$17.35	$35.40	$93.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $27.62 / $31.23	Professional		$26.63	$27.62	$31.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $31.23 / $31.23	Facility		$30.42	$31.23	$31.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $29.60 / $31.23	Professional		$26.63	$29.60	$31.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $35.10 / $35.10	Professional		$27.73	$35.10	$35.10