Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $54.15 / $75.00	Professional		$39.44	$54.15	$75.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.29 / $54.29 / $54.29	Professional	25	$54.29	$54.29	$54.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $71.01 / $101.46	Professional		$47.63	$71.01	$101.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $57.23 / $90.29	Professional		$35.10	$57.23	$90.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.08 / $147.47	Facility		$39.81	$72.08	$147.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $101.17 / $304.67	Professional		$68.40	$101.17	$304.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $83.55 / $118.66	Facility		$62.60	$83.55	$118.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $91.22 / $145.86	Professional		$72.79	$91.22	$145.86
United Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $95.17 / $161.79	Professional		$65.43	$95.17	$161.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $76.00 / $110.80	Professional		$64.59	$76.00	$110.80