Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $27.58 / $62.27	Professional		$17.05	$27.58	$62.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $38.01 / $97.84	Professional		$14.99	$38.01	$97.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $38.54 / $64.06	Professional		$13.78	$38.54	$64.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $48.79 / $102.41	Facility		$19.19	$48.79	$102.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $52.36 / $161.25	Professional		$39.24	$52.36	$161.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.94 / $69.00 / $97.97	Facility		$42.94	$69.00	$97.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $67.18 / $105.59	Professional		$38.15	$67.18	$105.59
United Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $46.99 / $83.00	Professional		$39.24	$46.99	$83.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $39.20 / $92.80	Professional		$33.29	$39.20	$92.80