Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.48 / $404.13 / $439.79	Professional		$234.48	$404.13	$439.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $104.51 / $847.19	Professional		$104.51	$104.51	$847.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.60 / $956.00 / $991.00	Professional		$812.60	$956.00	$991.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $464.75 / $1,170.52	Facility		$404.13	$464.75	$1,170.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $669.84 / $847.90 / $847.90	Professional		$669.84	$847.90	$847.90