Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $174.10 / $249.99	Professional		$174.10	$174.10	$249.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $265.42	Professional		$161.72	$161.72	$265.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.85 / $1,614.22 / $2,016.16	Professional		$1,314.85	$1,614.22	$2,016.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $271.41 / $572.34	Facility		$174.10	$271.41	$572.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.20 / $252.58 / $690.53	Professional		$227.20	$252.58	$690.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $259.58 / $265.42 / $265.42	Facility		$259.58	$265.42	$265.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $227.20 / $252.58 / $265.42	Professional		$227.20	$252.58	$265.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $222.86 / $222.86	Professional		$176.06	$222.86	$222.86