Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $34.27 / $34.27	Professional		$34.27	$34.27	$34.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $39.10 / $39.10	Facility		$39.10	$39.10	$39.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $39.19 / $48.98	Professional		$39.19	$39.19	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $50.62 / $67.75	Professional		$41.17	$50.62	$67.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $63.24 / $110.76	Facility		$43.71	$63.24	$110.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $43.99 / $74.45	Professional		$33.89	$43.99	$74.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $55.99 / $91.36	Facility		$43.71	$55.99	$91.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $56.25 / $77.84	Professional		$43.71	$56.25	$77.84
United Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $34.74 / $64.05	Professional		$33.89	$34.74	$64.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Professional		$36.90	$36.90	$36.90