Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $33.11 / $55.78	Professional		$21.86	$33.11	$55.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $45.82 / $98.59	Professional		$18.92	$45.82	$98.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $36.02 / $60.33	Professional		$17.37	$36.02	$60.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $60.79 / $99.56	Facility		$24.10	$60.79	$99.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $53.88 / $153.94	Professional		$36.84	$53.88	$153.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $77.00 / $97.19	Facility		$47.64	$77.00	$97.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $70.00 / $103.32	Professional		$47.64	$70.00	$103.32
United Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $46.02 / $81.84	Professional		$35.46	$46.02	$81.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $49.30 / $86.30	Professional		$41.90	$49.30	$86.30