Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.19 / $1,052.08 / $1,052.08	Professional		$719.19	$1,052.08	$1,052.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.62 / $921.16 / $921.16	Professional		$810.62	$921.16	$921.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,770.58 / $3,401.40 / $4,248.35	Professional		$2,770.58	$3,401.40	$4,248.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $841.21 / $1,052.08 / $1,735.93	Facility		$841.21	$1,052.08	$1,735.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $787.84 / $875.85 / $1,463.01	Professional		$787.84	$875.85	$1,463.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $900.10 / $921.16 / $921.16	Facility		$900.10	$921.16	$921.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $787.84 / $875.85 / $921.16	Professional		$787.84	$875.85	$921.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $362.79 / $459.23 / $459.23	Professional		$362.79	$459.23	$459.23