Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $155.44 / $412.33	Facility		$155.44	$155.44	$412.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $155.44	Professional		$149.22	$149.22	$155.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $53.63 / $67.03	Professional		$53.63	$53.63	$67.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $150.00 / $1,534.95	Professional		$77.11	$150.00	$1,534.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $55.78 / $177.44	Facility		$48.92	$55.78	$177.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $155.44 / $160.11	Professional		$72.95	$155.44	$160.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $78.00 / $318.92	Facility		$52.01	$78.00	$318.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $76.23 / $112.11	Professional		$52.01	$76.23	$112.11
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $160.11	Professional		$155.44	$155.44	$160.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $155.10 / $155.10	Facility		$155.10	$155.10	$155.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $155.10 / $155.10	Professional		$155.10	$155.10	$155.10