Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $40.20 / $1,260.00	Professional		$32.85	$40.20	$1,260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $75.00	Professional		$60.00	$60.00	$75.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $93.23 / $346.15	Professional		$51.51	$93.23	$346.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $58.88 / $70.28	Facility		$36.68	$58.88	$70.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $34.65 / $86.21	Professional		$24.46	$34.65	$86.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $58.88 / $88.79	Facility		$56.50	$58.88	$88.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $66.19 / $108.28	Professional		$56.50	$66.19	$108.28
United Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $25.70 / $39.04	Professional		$24.46	$25.70	$39.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.36 / $46.36 / $46.36	Facility		$46.36	$46.36	$46.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $46.36 / $46.36	Professional		$46.36	$46.36	$46.36