Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $47.86	Professional		$21.88	$28.18	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $58.88	Professional		$32.36	$40.74	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $91.20	Professional		$35.48	$50.12	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $147.91	Professional		$28.18	$45.71	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $66.07	Professional		$47.86	$57.54	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $66.07	Professional		$39.81	$39.81	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $61.66	Professional		$28.18	$37.15	$61.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $56.23	Professional		$47.86	$47.86	$56.23