Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $39.81 / $53.70	Facility		$30.90	$39.81	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $57.54	Professional		$30.20	$44.67	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $83.18 / $102.33	Professional		$38.90	$83.18	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $173.78	Professional		$41.69	$87.10	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $112.20 / $213.80	Facility		$39.81	$112.20	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $104.71	Professional		$50.12	$83.18	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $97.72	Professional		$66.07	$91.20	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $123.03	Professional		$50.12	$77.62	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $64.57	Professional		$50.12	$64.57	$64.57