Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $55.09 / $56.04	Professional		$54.64	$55.09	$56.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $84.51 / $97.96	Professional		$70.13	$84.51	$97.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $106.68 / $126.50	Professional		$93.90	$106.68	$126.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $82.41 / $165.85	Facility		$55.09	$82.41	$165.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $54.41 / $220.16	Professional		$41.68	$54.41	$220.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.58 / $72.38 / $138.88	Facility		$65.58	$72.38	$138.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $82.41 / $165.85	Professional		$60.17	$82.41	$165.85
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $42.49 / $72.94	Professional		$40.60	$42.49	$72.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $76.66 / $76.66 / $76.66	Facility		$76.66	$76.66	$76.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $76.66 / $76.66	Professional		$60.56	$76.66	$76.66