Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $41.66 / $41.66	Facility		$40.95	$41.66	$41.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $39.51 / $49.59	Professional		$36.38	$39.51	$49.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $59.53 / $60.48	Professional		$47.63	$59.53	$60.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $46.45 / $104.31	Professional		$37.85	$46.45	$104.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $89.66 / $218.97	Facility		$14.56	$89.66	$218.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $77.11 / $103.53	Professional		$49.45	$77.11	$103.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $61.62 / $98.44	Facility		$51.91	$61.62	$98.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $73.69 / $99.13	Professional		$51.91	$73.69	$99.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $70.54 / $102.24	Professional		$42.49	$70.54	$102.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $70.00 / $70.00	Professional		$47.01	$70.00	$70.00