Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $330.00	Facility		$330.00	$330.00	$330.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $330.00	Professional		$297.33	$297.33	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $290.64 / $343.59	Professional		$274.88	$290.64	$343.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $357.97 / $425.00	Professional		$150.00	$357.97	$425.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $474.05	Facility		$330.00	$330.00	$474.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $339.28 / $354.30	Professional		$300.25	$339.28	$354.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $330.27 / $330.27 / $330.27	Facility		$330.27	$330.27	$330.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $330.27 / $330.27 / $330.27	Professional		$330.27	$330.27	$330.27
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $339.28 / $354.30	Professional		$300.25	$339.28	$354.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Facility		$275.00	$275.00	$275.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00