Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Professional		$973.77	$973.77	$1,194.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $144.12 / $144.12	Professional		$126.83	$144.12	$144.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.62 / $973.77 / $1,645.67	Facility		$153.62	$973.77	$1,645.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $137.33 / $1,420.02	Professional		$123.54	$137.33	$1,420.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $144.12 / $144.12	Facility		$141.13	$144.12	$144.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $137.33 / $144.12	Professional		$123.54	$137.33	$144.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.07 / $373.51 / $373.51	Professional		$295.07	$373.51	$373.51