Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $139.50 / $144.00	Facility		$135.00	$139.50	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $50.49 / $69.98	Professional		$50.49	$50.49	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.62 / $2.62	Professional		$2.09	$2.62	$2.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $96.20 / $138.66	Facility		$34.58	$96.20	$138.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $28.58 / $32.43	Professional		$27.55	$28.58	$32.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $32.43 / $32.43	Facility		$31.47	$32.43	$32.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $30.62 / $32.43	Professional		$27.55	$30.62	$32.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $46.14 / $46.14	Professional		$46.14	$46.14	$46.14