Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.02 / $139.02 / $310.95	Facility		$139.02	$139.02	$310.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $112.54 / $139.02	Professional		$112.54	$112.54	$139.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $116.40 / $116.40	Facility		$116.40	$116.40	$116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $116.40 / $145.50	Professional		$116.40	$116.40	$145.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $214.12 / $214.12	Professional		$150.00	$214.12	$214.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $139.02 / $187.96	Facility		$1.00	$139.02	$187.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $120.76	Professional		$117.24	$117.24	$120.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $124.51	Facility		$0.90	$1.00	$124.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $124.51 / $124.51	Professional		$124.51	$124.51	$124.51
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $119.58	Professional		$117.24	$117.24	$119.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Facility		$117.24	$117.24	$117.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24