Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $74.67 / $79.66	Professional		$46.73	$74.67	$79.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $120.76 / $150.94	Professional		$60.94	$120.76	$150.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $73.66 / $114.97	Professional		$45.14	$73.66	$114.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $107.71 / $366.48	Professional		$58.93	$107.71	$366.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $115.72 / $150.15	Professional		$74.00	$115.72	$150.15
United Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $78.56 / $124.44	Professional		$55.13	$78.56	$124.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $94.30 / $110.90	Professional		$74.50	$94.30	$110.90