Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $177.83	Facility		$72.44	$109.65	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $83.18 / $169.82	Professional		$39.81	$83.18	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $85.11	Professional		$25.70	$32.36	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $95.50	Professional		$33.11	$54.95	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $3,311.31 / $4,073.80	Facility		$81.28	$3,311.31	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $1,862.09 / $1,862.09	Professional		$72.44	$1,862.09	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $81.28	Professional		$47.86	$72.44	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $81.28	Professional		$63.10	$67.61	$81.28