Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $331.56	Facility		$150.00	$150.00	$331.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $150.00	Professional		$120.00	$120.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $132.11 / $132.11	Professional		$132.11	$132.11	$132.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $588.77 / $588.77	Professional		$150.00	$588.77	$588.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $131.56 / $150.13	Facility		$1.00	$131.56	$150.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $128.75	Professional		$125.00	$125.00	$128.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $218.39 / $317.64	Facility		$150.13	$218.39	$317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $150.13 / $150.13	Professional		$150.13	$150.13	$150.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $128.75	Professional		$125.00	$125.00	$128.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Facility		$125.00	$125.00	$125.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00