Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $42.51 / $65.45	Professional		$29.25	$42.51	$65.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $108.17 / $135.22	Professional		$49.81	$108.17	$135.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $51.86 / $115.14	Professional		$26.21	$51.86	$115.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $60.89 / $128.51	Facility		$29.22	$60.89	$128.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $74.20 / $193.31	Professional		$50.00	$74.20	$193.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $67.48 / $104.48	Facility		$42.33	$67.48	$104.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $72.84 / $124.22	Professional		$46.34	$72.84	$124.22
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $63.41 / $113.43	Professional		$50.00	$63.41	$113.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $49.60 / $81.20	Professional		$40.50	$49.60	$81.20