Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $23.29 / $28.44	Professional		$18.96	$23.29	$28.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $39.77 / $173.79	Professional		$15.59	$39.77	$173.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.00 / $117.22	Professional		$15.24	$20.00	$117.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $52.46 / $193.50	Facility		$18.95	$52.46	$193.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $32.56 / $558.04	Professional		$17.79	$32.56	$558.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $47.30 / $89.00	Facility		$23.80	$47.30	$89.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $47.30 / $178.00	Professional		$32.99	$47.30	$178.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $22.37 / $55.62	Professional		$17.71	$22.37	$55.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $40.10 / $47.10	Professional		$40.10	$40.10	$47.10