Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.78 / $963.04 / $1,516.92	Facility		$647.78	$963.04	$1,516.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.44 / $798.38 / $798.38	Professional		$531.44	$798.38	$798.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $480.75 / $600.94	Professional		$291.51	$480.75	$600.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.55 / $3,050.26 / $3,809.77	Professional		$2,484.55	$3,050.26	$3,809.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.20 / $894.19 / $1,349.26	Facility		$692.20	$894.19	$1,349.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $753.66 / $781.90 / $880.33	Professional		$753.66	$781.90	$880.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $861.04 / $880.33 / $880.33	Facility		$861.04	$880.33	$880.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $753.66 / $837.85 / $880.33	Professional		$753.66	$837.85	$880.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $384.81 / $487.10 / $487.10	Professional		$384.81	$487.10	$487.10