Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.87 / $176.87 / $176.87	Professional		$176.87	$176.87	$176.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $854.33 / $854.33	Professional		$150.00	$854.33	$854.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.99 / $333.42 / $333.42	Facility		$200.99	$333.42	$333.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.99 / $200.99 / $200.99	Professional		$200.99	$200.99	$200.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $403.29 / $582.52 / $803.54	Facility		$403.29	$582.52	$803.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.99 / $200.99 / $200.99	Professional		$200.99	$200.99	$200.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $333.42 / $333.42 / $333.42	Facility		$333.42	$333.42	$333.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $333.42 / $333.42	Professional		$333.42	$333.42	$333.42