Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $28.38 / $102.94	Professional		$25.59	$28.38	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $47.72 / $86.67	Professional		$29.33	$47.72	$86.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $39.75 / $130.52	Professional		$17.11	$39.75	$130.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $73.55 / $154.09	Professional		$41.42	$73.55	$154.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $65.50 / $99.54	Professional		$37.13	$65.50	$99.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $57.60 / $119.00	Professional		$42.24	$57.60	$119.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.60 / $62.80	Professional		$30.20	$35.60	$62.80