Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $106.00 / $348.00	Professional		$27.84	$106.00	$348.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $42.92 / $52.34	Professional		$41.87	$42.92	$52.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $26.10 / $133.56	Professional		$17.75	$26.10	$133.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $37.02 / $54.88	Professional		$24.67	$37.02	$54.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $41.32 / $54.06	Professional		$27.74	$41.32	$54.06
United Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $32.64 / $53.99	Professional		$23.46	$32.64	$53.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Professional		$37.79	$37.79	$37.79