Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $72.38 / $195.00	Professional		$16.89	$72.38	$195.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $58.53	Professional		$46.82	$46.82	$58.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $30.36 / $59.46	Professional		$20.55	$30.36	$59.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $31.35 / $45.28	Professional		$13.49	$31.35	$45.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $38.43 / $49.82	Professional		$25.59	$38.43	$49.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.83 / $42.58	Professional		$13.49	$13.83	$42.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Professional		$27.80	$27.80	$27.80