Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $239.88	Professional		$83.18	$123.03	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $363.08	Professional		$218.78	$275.42	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $275.42	Professional		$91.20	$151.36	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $380.19	Professional		$141.25	$229.09	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $331.13	Professional		$204.17	$257.04	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $295.12	Professional		$104.71	$151.36	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $257.04	Professional		$165.96	$194.98	$257.04