Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $67.09 / $129.97	Professional		$15.04	$67.09	$129.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $118.64 / $231.78	Professional		$35.84	$118.64	$231.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $91.23 / $215.42	Professional		$14.74	$91.23	$215.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $144.78 / $295.14	Professional		$72.70	$144.78	$295.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $135.03 / $219.78	Professional		$35.90	$135.03	$219.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $125.73 / $234.17	Professional		$81.25	$125.73	$234.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.50 / $176.70	Professional		$30.20	$35.50	$176.70