Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $45.32 / $59.20	Professional		$35.45	$45.32	$59.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.73 / $22.66 / $29.60	Professional	52	$17.73	$22.66	$29.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $48.93 / $121.51	Professional		$24.65	$48.93	$121.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $36.99 / $68.19	Professional		$24.79	$36.99	$68.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $66.00 / $135.71	Facility		$35.08	$66.00	$135.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $62.91 / $204.12	Professional		$47.19	$62.91	$204.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $109.83 / $134.72	Facility		$63.39	$109.83	$134.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $101.95 / $134.72	Professional		$66.00	$101.95	$134.72
United Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $54.64 / $103.52	Professional		$44.66	$54.64	$103.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $70.30 / $86.30	Professional		$59.80	$70.30	$86.30