Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.06 / $80.08	Professional		$16.20	$23.06	$80.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $29.02 / $55.25	Professional		$13.41	$29.02	$55.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $33.70 / $84.50	Professional		$21.61	$33.70	$84.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $30.17 / $98.42	Facility		$19.76	$30.17	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $43.46 / $164.61	Professional		$26.22	$43.46	$164.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $31.71 / $51.07	Facility		$25.24	$31.71	$51.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $34.03 / $58.40	Professional		$25.24	$34.03	$58.40
United Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $27.09 / $61.57	Professional		$26.22	$27.09	$61.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $54.10 / $63.60	Professional		$36.90	$54.10	$63.60