Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.40 / $1,730.40 / $1,753.34	Facility		$1,730.40	$1,730.40	$1,753.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.57 / $412.43 / $416.40	Professional		$385.57	$412.43	$416.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $198.17 / $198.17	Professional		$174.39	$198.17	$198.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $791.18 / $971.33 / $1,213.19	Professional		$791.18	$971.33	$1,213.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.21 / $412.43 / $639.27	Facility		$211.21	$412.43	$639.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $174.63 / $198.17	Professional		$168.32	$174.63	$198.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $198.17 / $198.17	Facility		$192.30	$198.17	$198.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $187.12 / $198.17	Professional		$168.32	$187.12	$198.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $205.39 / $205.39	Professional		$162.26	$205.39	$205.39