Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.20 / $277.58 / $434.86	Professional		$166.20	$277.58	$434.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.93 / $503.49 / $774.83	Professional		$358.93	$503.49	$774.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $363.21 / $560.11	Professional		$175.07	$363.21	$560.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $528.97 / $1,815.88	Professional		$290.20	$528.97	$1,815.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $360.41 / $510.74 / $725.95	Professional		$360.41	$510.74	$725.95
United Facility/Professional Professional Modifier Low / Median / High Price $273.67 / $417.02 / $776.71	Professional		$273.67	$417.02	$776.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $342.70 / $403.20 / $619.10	Professional		$342.70	$403.20	$619.10