Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $59.12 / $78.98	Professional		$37.58	$59.12	$78.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $84.75 / $114.48	Professional		$35.07	$84.75	$114.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $73.06 / $105.95	Professional		$62.11	$73.06	$105.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $72.86 / $104.56	Facility		$54.25	$72.86	$104.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $36.46 / $71.00	Professional		$33.70	$36.46	$71.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $80.38 / $142.49	Facility		$71.00	$80.38	$142.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $72.78 / $142.49	Professional		$65.83	$72.78	$142.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $36.46 / $46.67	Professional		$30.38	$36.46	$46.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $77.00 / $77.00	Professional		$60.83	$77.00	$77.00