Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $24.41 / $27.91	Professional		$22.20	$24.41	$27.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $44.04 / $71.81	Professional		$30.38	$44.04	$71.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $41.74 / $70.43	Professional		$23.50	$41.74	$70.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $40.28 / $142.59	Facility		$22.89	$40.28	$142.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $40.36 / $160.11	Professional		$27.09	$40.36	$160.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $51.59 / $71.81	Facility		$40.28	$51.59	$71.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $51.59 / $74.67	Professional		$35.25	$51.59	$74.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $35.70 / $57.19	Professional		$25.76	$35.70	$57.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $40.50 / $70.00	Professional		$33.40	$40.50	$70.00