Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $385.90	Professional		$308.72	$308.72	$385.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.82 / $650.92 / $650.92	Professional		$572.82	$650.92	$650.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $665.86 / $817.47 / $1,021.02	Professional		$665.86	$817.47	$1,021.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $681.42 / $966.45	Facility		$455.42	$681.42	$966.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $556.65 / $618.85 / $837.48	Professional		$556.65	$618.85	$837.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $635.99 / $650.92 / $650.92	Facility		$635.99	$650.92	$650.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.65 / $618.85 / $650.92	Professional		$556.65	$618.85	$650.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $313.73 / $397.13 / $397.13	Professional		$313.73	$397.13	$397.13