Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $68.48 / $68.48	Professional		$60.00	$68.48	$68.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Facility		$25.06	$25.06	$25.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $87.23 / $92.85	Professional		$69.79	$87.23	$92.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $93.33 / $126.12	Professional		$61.57	$93.33	$126.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $76.70 / $154.08	Facility		$60.00	$76.70	$154.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $136.97	Professional		$68.48	$68.48	$136.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $82.18 / $102.73	Facility		$78.08	$82.18	$102.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $89.03 / $102.73	Professional		$82.18	$89.03	$102.73
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $73.97	Professional		$68.48	$68.48	$73.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $68.48 / $68.48	Professional		$54.11	$68.48	$68.48