Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $450.00	Professional		$131.90	$131.90	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $170.20 / $204.16	Professional		$136.16	$170.20	$204.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $187.95 / $321.30	Professional		$131.90	$187.95	$321.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $241.43 / $637.37	Facility		$142.86	$241.43	$637.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $142.86 / $289.24	Professional		$142.86	$142.86	$289.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $166.20 / $216.54	Facility		$160.38	$166.20	$216.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $171.43 / $216.54	Professional		$160.38	$171.43	$216.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $145.09	Professional		$131.90	$131.90	$145.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $142.86 / $142.86	Facility		$142.86	$142.86	$142.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $142.86 / $142.86	Professional		$112.86	$142.86	$142.86