Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Professional		$112.32	$112.32	$112.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $204.17 / $204.17	Professional		$2.00	$204.17	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $176.67 / $249.40	Professional		$150.16	$176.67	$249.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $172.97	Facility		$112.32	$112.32	$172.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $104.00 / $104.00	Professional		$104.00	$104.00	$104.00