Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $23.57 / $89.19	Professional		$22.13	$23.57	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $50.19 / $69.15	Professional		$33.50	$50.19	$69.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $35.22 / $59.27	Professional		$13.74	$35.22	$59.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $44.18 / $70.84	Facility		$35.61	$44.18	$70.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $53.97 / $211.00	Professional		$28.50	$53.97	$211.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $47.49 / $62.45	Facility		$32.02	$47.49	$62.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $45.89 / $67.29	Professional		$31.68	$45.89	$67.29
United Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $52.26 / $72.59	Professional		$25.65	$52.26	$72.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $34.50 / $55.70	Professional		$29.40	$34.50	$55.70