Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $45.23 / $59.95	Professional		$34.89	$45.23	$59.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $60.94 / $120.10	Professional		$26.88	$60.94	$120.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $65.54 / $137.65	Professional		$42.08	$65.54	$137.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $60.34 / $198.79	Facility		$38.93	$60.34	$198.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $88.46 / $328.55	Professional		$52.59	$88.46	$328.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $62.07 / $105.42	Facility		$53.95	$62.07	$105.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $68.77 / $120.10	Professional		$53.95	$68.77	$120.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $54.17 / $123.11	Professional		$52.37	$54.17	$123.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $104.80 / $123.20	Professional		$78.90	$104.80	$123.20