Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $133.26	Professional		$44.98	$44.98	$133.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $49.88 / $62.34	Professional		$49.88	$49.88	$62.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.35 / $524.35 / $524.35	Professional		$524.35	$524.35	$524.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.66 / $165.97 / $165.97	Facility		$28.66	$165.97	$165.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $25.86 / $54.07	Professional		$21.40	$25.86	$54.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $58.62 / $58.62	Professional		$56.50	$58.62	$58.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $25.86 / $37.54	Professional		$22.40	$25.86	$37.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Facility		$67.00	$67.00	$67.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $223.00 / $223.00	Professional		$223.00	$223.00	$223.00