Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Facility		$564.00	$564.00	$564.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $564.00	Professional		$106.70	$106.70	$564.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $47.77 / $448.36	Professional		$38.21	$47.77	$448.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $472.31	Professional		$106.70	$106.70	$472.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $217.62 / $589.94	Facility		$89.18	$217.62	$589.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $89.18 / $448.36	Professional		$89.18	$89.18	$448.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $156.01 / $217.62	Facility		$45.00	$156.01	$217.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $164.24 / $304.30	Professional		$45.00	$164.24	$304.30
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $138.82	Professional		$106.70	$106.70	$138.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $89.18 / $89.18	Facility		$89.18	$89.18	$89.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $89.18 / $89.18	Professional		$70.45	$89.18	$89.18