Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $48.98	Professional		$25.70	$36.31	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $109.65	Professional		$34.67	$51.29	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $85.11	Professional		$33.88	$58.88	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $269.15	Professional		$42.66	$69.18	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $162.18	Professional		$48.98	$72.44	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $123.03	Professional		$42.66	$44.67	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $100.00	Professional		$70.79	$83.18	$100.00