Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $438.60 / $913.60	Facility		$258.08	$438.60	$913.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $317.60 / $317.60	Professional		$207.74	$317.60	$317.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $140.25 / $175.31	Professional		$116.76	$140.25	$175.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $853.80 / $1,048.20 / $1,309.20	Professional		$853.80	$1,048.20	$1,309.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.55 / $317.60 / $536.74	Facility		$187.55	$317.60	$536.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $195.22 / $329.53	Professional		$175.60	$195.22	$329.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $205.37 / $205.37	Facility		$200.62	$205.37	$205.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $195.22 / $205.37	Professional		$175.60	$195.22	$205.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.78 / $182.00 / $182.00	Professional		$143.78	$182.00	$182.00