Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $214.81 / $806.06	Professional		$204.44	$214.81	$806.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.47 / $386.63 / $661.26	Professional		$222.47	$386.63	$661.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $282.49 / $567.41	Professional		$135.58	$282.49	$567.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.02 / $403.45 / $1,008.40	Professional		$251.02	$403.45	$1,008.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $267.36 / $411.35 / $640.23	Professional		$267.36	$411.35	$640.23
United Facility/Professional Professional Modifier Low / Median / High Price $239.61 / $329.05 / $609.59	Professional		$239.61	$329.05	$609.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $284.60 / $476.40	Professional		$241.90	$284.60	$476.40