Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.65 / $690.57 / $818.72	Professional		$599.65	$690.57	$818.72
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 $40.00 / $68.00 / $706.16	Facility		$40.00	$68.00	$706.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.99 / $690.57 / $690.57	Professional		$577.99	$690.57	$690.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $690.57 / $690.57 / $690.57	Facility		$690.57	$690.57	$690.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $599.65 / $599.65 / $690.57	Professional		$599.65	$599.65	$690.57
United Facility/Professional Professional Modifier Low / Median / High Price $580.75 / $580.75 / $580.75	Professional		$580.75	$580.75	$580.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $575.00 / $575.00	Facility		$575.00	$575.00	$575.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $454.25 / $575.00 / $575.00	Professional		$454.25	$575.00	$575.00