Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $677.60	Professional		$540.96	$540.96	$677.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $163.33 / $163.33	Professional		$143.72	$163.33	$163.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $456.78 / $560.78 / $700.42	Professional		$456.78	$560.78	$700.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $542.08 / $1,212.90	Facility		$174.08	$542.08	$1,212.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $155.65 / $1,274.40	Professional		$140.00	$155.65	$1,274.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $163.33 / $163.33	Facility		$159.96	$163.33	$163.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $155.65 / $163.33	Professional		$140.00	$155.65	$163.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $383.44 / $485.37 / $485.37	Professional		$383.44	$485.37	$485.37