Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $67.61	Facility		$41.69	$41.69	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $67.61	Professional		$28.84	$44.67	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $138.04	Professional		$67.61	$112.20	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.77 / $131.83	Professional		$25.12	$46.77	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $138.04	Facility		$28.84	$57.54	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $204.17	Professional		$46.77	$74.13	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $128.82	Professional		$42.66	$81.28	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $100.00	Professional		$34.67	$54.95	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $81.28	Professional		$40.74	$50.12	$81.28