Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $97.39 / $263.39	Professional		$52.91	$97.39	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $143.37 / $187.46	Professional		$76.45	$143.37	$187.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $93.54 / $200.19	Professional		$60.41	$93.54	$200.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $155.57 / $487.68	Professional		$109.58	$155.57	$487.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $151.00 / $250.36	Professional		$106.54	$151.00	$250.36
United Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $145.85 / $269.04	Professional		$92.40	$145.85	$269.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $116.80 / $137.40	Professional		$92.27	$116.80	$137.40