Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $39.22 / $51.02	Professional		$33.78	$39.22	$51.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $67.50 / $85.27	Professional		$54.00	$67.50	$85.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $47.16 / $72.29	Professional		$38.07	$47.16	$72.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $56.50 / $252.67	Facility		$37.79	$56.50	$252.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $63.78 / $177.73	Professional		$44.57	$63.78	$177.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $69.39 / $103.60	Facility		$56.50	$69.39	$103.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $69.39 / $109.62	Professional		$56.50	$69.39	$109.62
United Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $52.62 / $94.09	Professional		$42.55	$52.62	$94.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $67.70 / $67.70	Professional		$57.50	$67.70	$67.70