Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $244.29	Professional		$16.29	$16.29	$244.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.98 / $281.33 / $281.33	Professional		$226.98	$281.33	$281.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $533.62 / $655.12 / $818.25	Professional		$533.62	$655.12	$818.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $27.69 / $383.21	Facility		$16.29	$27.69	$383.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.21 / $214.78 / $244.14	Professional		$193.21	$214.78	$244.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $220.72 / $226.98 / $226.98	Facility		$220.72	$226.98	$226.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.21 / $214.78 / $226.98	Professional		$193.21	$214.78	$226.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $149.22 / $149.22	Professional		$117.88	$149.22	$149.22