Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Professional		$323.59	$323.59	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $588.84	Professional		$309.03	$309.03	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,096.48	Professional		$794.33	$933.25	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $346.74 / $707.95	Facility		$331.13	$346.74	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $660.69	Professional		$575.44	$588.84	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $660.69	Professional		$588.84	$588.84	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97