Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $151.27	Professional		$142.38	$142.38	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $151.27 / $213.46	Professional		$134.88	$151.27	$213.46
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 $142.38 / $177.97 / $240.62	Facility		$142.38	$177.97	$240.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $323.58	Professional		$161.79	$161.79	$323.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $173.17 / $213.46	Facility		$134.88	$173.17	$213.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $213.46	Professional		$134.88	$134.88	$213.46
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $281.74	Professional		$161.79	$161.79	$281.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $161.79 / $161.79 / $161.79	Facility		$161.79	$161.79	$161.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.81 / $161.79 / $161.79	Professional		$127.81	$161.79	$161.79