Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $69.18	Professional		$41.69	$48.98	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $91.20	Professional		$54.95	$69.18	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $74.13	Professional		$41.69	$50.12	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $245.47	Facility		$42.66	$63.10	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $331.13	Professional		$56.23	$81.28	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $213.80	Professional		$63.10	$91.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $123.03	Professional		$53.70	$70.79	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $70.79	Professional		$58.88	$58.88	$70.79