Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $102.80	Professional		$96.75	$96.75	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $130.72 / $130.72	Professional		$102.80	$130.72	$130.72
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 $96.75 / $120.94 / $163.51	Facility		$96.75	$120.94	$163.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $201.56	Professional		$100.78	$100.78	$201.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $130.72 / $130.72	Facility		$130.72	$130.72	$130.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $130.72 / $130.72	Professional		$130.72	$130.72	$130.72
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $110.86	Professional		$100.78	$100.78	$110.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $108.85 / $108.85	Facility		$108.85	$108.85	$108.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $108.85 / $108.85	Professional		$85.99	$108.85	$108.85