Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $76.66 / $128.63	Professional		$45.15	$76.66	$128.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $144.13 / $247.36	Professional		$99.72	$144.13	$247.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $101.86 / $404.59	Professional		$50.33	$101.86	$404.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $146.88 / $1,641.00	Professional		$77.11	$146.88	$1,641.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $136.91 / $203.75	Professional		$94.89	$136.91	$203.75
United Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $117.50 / $218.85	Professional		$75.81	$117.50	$218.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $118.50 / $196.30	Professional		$100.80	$118.50	$196.30