Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $85.00	Professional		$80.00	$80.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $108.09 / $108.09	Professional		$85.00	$108.09	$108.09
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 $80.00 / $100.00 / $136.00	Facility		$80.00	$100.00	$136.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $321.83	Professional		$160.91	$160.91	$321.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.09 / $108.09 / $108.09	Facility		$108.09	$108.09	$108.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $108.09 / $108.09	Professional		$108.09	$108.09	$108.09
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $198.58	Professional		$160.91	$160.91	$198.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $90.00 / $90.00	Professional		$71.09	$90.00	$90.00