Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $141.22 / $188.67	Professional		$101.56	$141.22	$188.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $266.83 / $355.46	Professional		$131.91	$266.83	$355.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $162.47 / $260.44	Professional		$91.11	$162.47	$260.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $239.06 / $696.72	Professional		$141.43	$239.06	$696.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $248.60 / $333.88	Professional		$181.39	$248.60	$333.88
United Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $176.79 / $326.16	Professional		$129.65	$176.79	$326.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $196.70 / $258.80	Professional		$167.20	$196.70	$258.80