Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $185.45 / $301.31	Facility		$77.00	$185.45	$301.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $78.00 / $502.00	Professional		$77.00	$78.00	$502.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $181.48 / $226.85	Professional		$114.81	$181.48	$226.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $289.23	Professional		$100.00	$150.00	$289.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $129.04 / $321.51	Facility		$95.17	$129.04	$321.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $100.00 / $230.00	Professional		$52.33	$100.00	$230.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $172.20 / $226.87	Facility		$91.76	$172.20	$226.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $167.81 / $226.87	Professional		$113.29	$167.81	$226.87
United Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $60.00 / $252.90	Professional		$52.33	$60.00	$252.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $100.00 / $100.00	Professional		$79.00	$100.00	$100.00