Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $113.44	Professional		$112.32	$112.32	$113.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $226.08 / $744.61	Professional		$180.86	$226.08	$744.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $203.30 / $820.27	Professional		$112.32	$203.30	$820.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $306.39 / $1,016.71	Facility		$129.41	$306.39	$1,016.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $744.61	Professional		$129.41	$129.41	$744.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.30 / $268.69 / $608.01	Facility		$155.30	$268.69	$608.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $306.39 / $744.61	Professional		$212.99	$306.39	$744.61
United Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $121.31	Professional		$112.32	$112.32	$121.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Facility		$129.41	$129.41	$129.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $129.41 / $129.41	Professional		$102.24	$129.41	$129.41