Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $195.17 / $195.17	Professional		$171.75	$195.17	$195.17
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 $100.00 / $195.17 / $195.17	Facility		$100.00	$195.17	$195.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $259.63	Professional		$199.56	$199.56	$259.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.17 / $195.17 / $195.17	Facility		$195.17	$195.17	$195.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.17 / $195.17 / $195.17	Professional		$195.17	$195.17	$195.17
United Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $246.26	Professional		$199.56	$199.56	$246.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $166.67 / $166.67 / $166.67	Facility		$166.67	$166.67	$166.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $166.67 / $166.67	Professional		$131.66	$166.67	$166.67