Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $96.80 / $102.85	Professional		$96.80	$96.80	$102.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $59.26 / $64.81	Facility		$55.16	$59.26	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $132.11 / $132.11	Professional		$102.85	$132.11	$132.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $121.00 / $164.56	Facility		$68.58	$121.00	$164.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $220.00	Professional		$110.00	$110.00	$220.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.11 / $132.11 / $132.11	Facility		$132.11	$132.11	$132.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $132.11 / $132.11	Professional		$132.11	$132.11	$132.11
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $191.55	Professional		$110.00	$110.00	$191.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $110.00 / $110.00	Professional		$86.90	$110.00	$110.00