Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $47.84 / $60.64	Professional		$40.79	$47.84	$60.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $82.34 / $82.34 / $82.34	Professional	25	$82.34	$82.34	$82.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $108.30 / $136.99	Professional		$71.81	$108.30	$136.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $62.18 / $155.77	Professional		$42.67	$62.18	$155.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.55 / $140.22	Facility		$44.67	$69.55	$140.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $97.35 / $320.01	Professional		$65.89	$97.35	$320.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $98.91 / $119.07	Facility		$71.81	$98.91	$119.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $100.38 / $128.63	Professional		$71.81	$100.38	$128.63
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $71.88 / $132.38	Professional		$62.56	$71.88	$132.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $70.00 / $84.20	Professional		$59.50	$70.00	$84.20