Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $27.39 / $35.65	Professional		$25.43	$27.39	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $41.72 / $42.69	Professional		$33.38	$41.72	$42.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $65.86 / $65.86	Professional		$65.86	$65.86	$65.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $155.77 / $155.77	Facility		$36.64	$155.77	$155.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $32.86 / $67.56	Professional		$28.76	$32.86	$67.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $42.69 / $67.64	Facility		$36.64	$42.69	$67.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $47.91 / $73.62	Professional		$33.26	$47.91	$73.62
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $30.75 / $45.29	Professional		$28.76	$30.75	$45.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00