Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $311.89 / $531.62	Facility		$143.04	$311.89	$531.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $143.04 / $143.04	Professional		$143.04	$143.04	$143.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $156.44 / $156.44	Facility		$156.44	$156.44	$156.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $156.44 / $195.56	Professional		$156.44	$156.44	$195.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $303.77 / $310.18	Professional		$150.00	$303.77	$310.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $119.40 / $241.74	Facility		$1.00	$119.40	$241.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $119.40 / $119.40	Professional		$119.40	$119.40	$119.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $119.40	Facility		$0.90	$1.00	$119.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $119.40 / $119.40	Professional		$119.40	$119.40	$119.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $149.00 / $149.00	Facility		$149.00	$149.00	$149.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $149.00 / $149.00	Professional		$149.00	$149.00	$149.00