Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $205.70	Professional		$193.60	$193.60	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $120.81 / $205.70	Professional		$104.68	$120.81	$205.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $242.00 / $319.44	Facility		$120.81	$242.00	$319.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $220.00 / $440.00	Professional		$193.60	$220.00	$440.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.94 / $120.81 / $191.20	Facility		$100.94	$120.81	$191.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $120.81 / $191.20	Professional		$100.94	$120.81	$191.20
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $242.00	Professional		$220.00	$220.00	$242.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Facility		$220.00	$220.00	$220.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $220.00 / $220.00	Professional		$173.80	$220.00	$220.00