Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $235.00 / $4,495.00	Facility		$55.85	$235.00	$4,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $44.59	Professional		$44.59	$44.59	$44.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $343.67 / $343.67	Professional		$30.65	$343.67	$343.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $106.08 / $194.07	Professional		$90.17	$106.08	$194.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $75.36 / $1,574.54	Facility		$37.11	$75.36	$1,574.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $30.96 / $34.83	Professional		$29.84	$30.96	$34.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $34.83 / $34.83	Facility		$34.08	$34.83	$34.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $33.17 / $34.83	Professional		$29.84	$33.17	$34.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $484.35 / $613.10 / $613.10	Professional		$484.35	$613.10	$613.10