Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $371.54 / $562.34	Professional		$41.69	$371.54	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $125.89	Professional		$97.72	$102.33	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $123.03	Professional		$91.20	$104.71	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $177.83 / $630.96	Facility		$70.79	$177.83	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $128.82	Professional		$45.71	$70.79	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $1,000.00	Professional		$97.72	$112.20	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $102.33	Professional		$45.71	$58.88	$102.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82