Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $83.18	Professional		$39.81	$47.86	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $162.18	Professional		$64.57	$128.82	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $144.54	Professional		$48.98	$74.13	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $354.81	Professional		$48.98	$89.13	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $138.04	Professional		$87.10	$120.23	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $131.83	Professional		$93.33	$102.33	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $120.23	Professional		$47.86	$63.10	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65