Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $174.00 / $174.00	Facility		$174.00	$174.00	$174.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $144.41 / $174.00	Professional		$139.19	$144.41	$174.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $174.15 / $174.15	Professional		$147.90	$174.15	$174.15
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 $139.19 / $174.00 / $229.68	Facility		$139.19	$174.00	$229.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $290.00	Professional		$145.00	$145.00	$290.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $174.15 / $174.15	Facility		$174.15	$174.15	$174.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $174.15 / $174.15	Professional		$174.15	$174.15	$174.15
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $160.08	Professional		$145.00	$145.00	$160.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $145.00 / $145.00	Facility		$145.00	$145.00	$145.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $145.00 / $145.00	Professional		$114.55	$145.00	$145.00