Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $80.61 / $91.98	Professional		$57.80	$80.61	$91.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $101.25 / $126.56	Professional		$67.45	$101.25	$126.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $538.74 / $661.41 / $826.10	Professional		$538.74	$661.41	$826.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $136.22 / $574.75	Facility		$80.61	$136.22	$574.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.83 / $479.13 / $539.24	Professional		$461.83	$479.13	$539.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $527.63 / $539.24 / $539.24	Facility		$527.63	$539.24	$539.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $461.83 / $513.41 / $539.24	Professional		$461.83	$513.41	$539.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $144.32 / $144.32	Professional		$114.01	$144.32	$144.32