Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $171.96 / $171.96	Professional		$171.96	$171.96	$171.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.58 / $476.80 / $476.80	Professional		$419.58	$476.80	$476.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.90 / $524.10 / $654.60	Professional		$426.90	$524.10	$654.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $292.33 / $590.00	Facility		$171.96	$292.33	$590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.55 / $450.86 / $491.40	Professional		$405.55	$450.86	$491.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $463.35 / $476.80 / $476.80	Facility		$463.35	$476.80	$476.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $405.55 / $450.86 / $476.80	Professional		$405.55	$450.86	$476.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $242.44 / $242.44	Professional		$191.53	$242.44	$242.44