Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $140.00 / $186.79	Professional		$135.13	$140.00	$186.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $183.65 / $216.56	Professional		$173.25	$183.65	$216.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $150.00	Professional		$100.00	$100.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.85 / $358.86 / $358.86	Facility		$267.85	$358.86	$358.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.74 / $224.00 / $433.05	Professional		$200.74	$224.00	$433.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $224.00 / $266.88	Facility		$200.00	$224.00	$266.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.74 / $224.00 / $336.00	Professional		$200.74	$224.00	$336.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00