Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.26 / $121.26 / $217.98	Facility		$121.26	$121.26	$217.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $114.73 / $114.73	Professional		$91.83	$114.73	$114.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $231.79	Professional		$1.62	$1.62	$231.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $174.49 / $217.93	Professional		$142.12	$174.49	$217.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $149.88 / $247.07	Facility		$100.92	$149.88	$247.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $204.50 / $231.79	Professional		$197.12	$204.50	$231.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.20 / $231.79 / $231.79	Facility		$225.20	$231.79	$231.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $219.13 / $231.79	Professional		$197.12	$219.13	$231.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $71.09 / $71.09	Professional		$56.16	$71.09	$71.09