Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $287.08	Professional		$248.71	$248.71	$287.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.04 / $338.68 / $338.68	Professional		$298.04	$338.68	$338.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.50 / $1,638.35 / $2,046.30	Professional		$1,334.50	$1,638.35	$2,046.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $360.98 / $1,590.94	Facility		$248.71	$360.98	$1,590.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.31 / $320.52 / $449.39	Professional		$288.31	$320.52	$449.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.40 / $338.68 / $338.68	Facility		$329.40	$338.68	$338.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.31 / $320.52 / $338.68	Professional		$288.31	$320.52	$338.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $516.45 / $653.74 / $653.74	Professional		$516.45	$653.74	$653.74