Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $47.21 / $56.17	Professional		$42.93	$47.21	$56.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $89.25 / $117.42	Professional		$59.25	$89.25	$117.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $76.36 / $116.42	Professional		$46.46	$76.36	$116.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $72.72 / $281.44	Facility		$44.72	$72.72	$281.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $81.14 / $317.48	Professional		$54.25	$81.14	$317.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $98.13 / $126.57	Facility		$79.58	$98.13	$126.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $98.13 / $147.54	Professional		$69.30	$98.13	$147.54
United Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $62.77 / $114.52	Professional		$51.79	$62.77	$114.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $77.59 / $114.50	Professional		$66.00	$77.59	$114.50