Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Facility		$270.00	$270.00	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $270.00	Professional		$123.80	$123.80	$270.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $155.91 / $281.39	Professional		$130.84	$155.91	$281.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $224.08 / $459.00	Professional		$123.80	$224.08	$459.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $194.13 / $310.62	Facility		$126.06	$194.13	$310.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $126.06 / $281.39	Professional		$126.06	$126.06	$281.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.36 / $154.12 / $191.26	Facility		$145.36	$154.12	$191.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.28 / $154.12 / $281.39	Professional		$151.28	$154.12	$281.39
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $152.77	Professional		$123.80	$123.80	$152.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $126.06 / $126.06	Facility		$126.06	$126.06	$126.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $126.06 / $126.06	Professional		$99.59	$126.06	$126.06