Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $128.82	Professional		$33.11	$43.65	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $120.23	Professional		$26.92	$60.26	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $199.53	Professional		$41.69	$75.86	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $199.53	Facility		$38.90	$60.26	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $331.13	Professional		$52.48	$100.00	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $134.90	Professional		$53.70	$69.18	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $123.03	Professional		$47.86	$52.48	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $123.03	Professional		$79.43	$104.71	$123.03