Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $289.19	Professional		$171.15	$171.15	$289.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.38 / $499.61 / $525.47	Professional		$420.38	$499.61	$525.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.28 / $628.91 / $785.52	Professional		$512.28	$628.91	$785.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $289.24 / $965.82	Facility		$171.15	$289.24	$965.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $443.27 / $499.61	Professional		$427.26	$443.27	$499.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $488.14 / $499.61 / $499.61	Facility		$488.14	$499.61	$499.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $474.99 / $499.61	Professional		$427.26	$474.99	$499.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $313.52 / $396.87 / $396.87	Professional		$313.52	$396.87	$396.87