Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $69.29	Professional		$63.28	$69.29	$69.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $99.68 / $99.68	Professional		$88.34	$99.68	$99.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $103.15 / $122.99	Professional		$92.74	$103.15	$122.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $114.59	Facility		$63.28	$69.29	$114.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $99.68 / $99.68	Professional		$88.34	$99.68	$99.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $94.66 / $99.68	Professional		$88.34	$94.66	$99.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $60.40 / $60.40	Professional		$60.40	$60.40	$60.40