Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.42 / $381.42 / $975.12	Facility		$381.42	$381.42	$975.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $352.92 / $381.42	Professional		$352.92	$352.92	$381.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $8.15 / $8.44	Professional		$6.75	$8.15	$8.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $11.44 / $381.42	Facility		$8.15	$11.44	$381.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $367.63 / $374.98	Professional		$11.00	$367.63	$374.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $9.58 / $12.90	Facility		$8.15	$9.58	$12.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.44 / $17.55	Professional		$8.15	$11.44	$17.55
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $374.98	Professional		$367.63	$367.63	$374.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $367.63 / $367.63 / $367.63	Facility		$367.63	$367.63	$367.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $367.63	Professional		$367.63	$367.63	$367.63