Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $292.31	Professional		$242.71	$242.71	$292.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $283.43	Professional		$116.04	$116.04	$283.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.25 / $1,310.25 / $1,636.50	Professional		$1,067.25	$1,310.25	$1,636.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $302.08 / $1,356.29	Facility		$242.71	$302.08	$1,356.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $268.42 / $290.20	Professional		$241.44	$268.42	$290.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $275.86 / $283.43 / $283.43	Facility		$275.86	$283.43	$283.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $268.42 / $283.43	Professional		$241.44	$268.42	$283.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $440.28 / $557.32 / $557.32	Professional		$440.28	$557.32	$557.32