Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $250.70 / $406.40	Professional		$155.47	$250.70	$406.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.22 / $452.85 / $691.01	Professional		$329.22	$452.85	$691.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $323.79 / $457.26	Professional		$149.10	$323.79	$457.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.72 / $489.62 / $1,657.69	Professional		$267.72	$489.62	$1,657.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $468.06 / $688.88	Professional		$319.39	$468.06	$688.88
United Facility/Professional Professional Modifier Low / Median / High Price $255.55 / $391.57 / $792.27	Professional		$255.55	$391.57	$792.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $307.39 / $361.60 / $576.79	Professional		$307.39	$361.60	$576.79