Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $116.01 / $468.00	Professional		$35.67	$116.01	$468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $63.41 / $72.41	Professional		$57.93	$63.41	$72.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $35.57 / $209.04	Professional		$24.03	$35.57	$209.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $57.00 / $78.25	Professional		$38.40	$57.00	$78.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $60.38 / $77.06	Professional		$44.89	$60.38	$77.06
United Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $46.03 / $76.14	Professional		$31.65	$46.03	$76.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $51.70 / $51.70	Professional		$51.70	$51.70	$51.70