Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $96.00 / $174.47	Facility		$96.00	$96.00	$174.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $87.69 / $96.00	Professional		$78.93	$87.69	$96.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $86.73 / $101.53	Professional		$81.23	$86.73	$101.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $89.72 / $150.00	Professional		$78.93	$89.72	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $96.00 / $167.89	Facility		$1.00	$96.00	$167.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $104.60	Professional		$78.43	$78.43	$104.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $129.54 / $172.45	Facility		$94.12	$129.54	$172.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $95.68 / $167.89	Professional		$91.72	$95.68	$167.89
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $80.51	Professional		$78.93	$78.93	$80.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $78.43 / $78.43	Facility		$78.43	$78.43	$78.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $78.43	Professional		$78.43	$78.43	$78.43