Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $506.25 / $632.80	Professional		$69.66	$506.25	$632.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $421.39 / $484.86	Professional		$150.00	$421.39	$484.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $90.00 / $157.50	Facility		$71.23	$90.00	$157.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $69.66 / $69.66	Professional		$60.75	$69.66	$69.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $69.66 / $69.66	Facility		$69.66	$69.66	$69.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $69.66 / $69.66	Professional		$60.75	$69.66	$69.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Facility		$58.00	$58.00	$58.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $58.00 / $58.00	Professional		$45.82	$58.00	$58.00