Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $89.40 / $197.61	Facility		$89.40	$89.40	$197.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $89.40	Professional		$71.52	$71.52	$89.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $78.73 / $78.73	Professional		$78.73	$78.73	$78.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $113.80 / $150.00	Professional		$99.10	$113.80	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $89.40 / $120.87	Facility		$1.00	$89.40	$120.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $76.73	Professional		$74.50	$74.50	$76.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $118.97 / $151.41	Facility		$1.00	$118.97	$151.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $89.48 / $89.48	Professional		$89.48	$89.48	$89.48
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $76.73	Professional		$74.50	$74.50	$76.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Facility		$74.50	$74.50	$74.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50