Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $576.63	Facility		$300.00	$300.00	$576.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $249.00 / $300.00	Professional		$240.00	$249.00	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $279.38	Professional		$223.50	$223.50	$279.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $284.50 / $334.75	Professional		$73.34	$284.50	$334.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $300.25 / $1,139.65	Facility		$74.53	$300.25	$1,139.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $295.56	Professional		$100.00	$250.00	$295.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $104.54 / $467.88	Facility		$74.53	$104.54	$467.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $117.90 / $260.76	Professional		$77.83	$117.90	$260.76
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $295.56	Professional		$100.00	$250.00	$295.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $197.50 / $250.00 / $250.00	Professional		$197.50	$250.00	$250.00