Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $25.38 / $80.58	Professional		$22.43	$25.38	$80.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $40.90 / $77.91	Professional		$26.38	$40.90	$77.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $32.76 / $54.75	Professional		$14.74	$32.76	$54.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $39.63 / $116.00	Professional		$26.60	$39.63	$116.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $42.64 / $67.69	Professional		$31.74	$42.64	$67.69
United Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $32.69 / $60.72	Professional		$23.54	$32.69	$60.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $30.70 / $56.50	Professional		$26.10	$30.70	$56.50