Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $173.78	Facility		$87.10	$104.71	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $123.03	Professional		$87.10	$91.20	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $112.20	Professional		$89.13	$89.13	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $194.98	Professional		$87.10	$87.10	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $104.71 / $147.91	Facility		$1.00	$104.71	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Professional		$87.10	$87.10	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $89.13	Professional		$87.10	$87.10	$89.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10