Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $99.45	Professional		$58.28	$58.28	$99.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.95 / $210.17 / $210.17	Professional		$184.95	$210.17	$210.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $284.60 / $349.40 / $436.40	Professional		$284.60	$349.40	$436.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $99.08 / $330.43	Facility		$58.28	$99.08	$330.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $185.30 / $210.17	Professional		$178.61	$185.30	$210.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.06 / $210.17 / $210.17	Facility		$204.06	$210.17	$210.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $198.56 / $210.17	Professional		$178.61	$198.56	$210.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $135.78 / $135.78	Professional		$107.27	$135.78	$135.78