Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $165.96	Professional		$64.57	$74.13	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Facility		$50.12	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $194.98	Professional		$81.28	$158.49	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $346.74	Professional		$67.61	$100.00	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $134.90 / $812.83	Facility		$70.79	$134.90	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $426.58	Professional		$81.28	$151.36	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $213.80	Professional		$162.18	$190.55	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $208.93	Professional		$131.83	$131.83	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $114.82	Facility		$70.79	$77.62	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $190.55	Professional		$67.61	$114.82	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $147.91	Professional		$125.89	$125.89	$147.91