Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $57.44 / $261.64	Professional		$39.42	$57.44	$261.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $86.54 / $108.17	Professional		$56.61	$86.54	$108.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $59.24 / $152.72	Professional		$42.47	$59.24	$152.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $57.78 / $102.65	Facility		$52.74	$57.78	$102.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $79.27 / $208.79	Professional		$49.01	$79.27	$208.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.53 / $87.03 / $109.29	Facility		$62.53	$87.03	$109.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $87.03 / $112.93	Professional		$62.53	$87.03	$112.93
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $63.93 / $112.80	Professional		$42.70	$63.93	$112.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $62.60 / $73.70	Professional		$49.45	$62.60	$73.70