Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.71	Professional		$39.31	$39.31	$39.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $134.44 / $533.69	Professional		$63.35	$134.44	$533.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $64.34 / $131.82	Professional		$39.31	$64.34	$131.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $97.41 / $1,192.44	Facility		$41.55	$97.41	$1,192.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $41.55 / $533.69	Professional		$41.55	$41.55	$533.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $71.17 / $533.69	Facility		$49.86	$71.17	$533.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $97.41 / $533.69	Professional		$49.86	$97.41	$533.69
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $49.92	Professional		$39.31	$39.31	$49.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $41.55 / $41.55	Facility		$41.55	$41.55	$41.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $41.55 / $41.55	Professional		$32.82	$41.55	$41.55