Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $70.42 / $100.19	Professional		$42.92	$70.42	$100.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $124.66 / $169.34	Professional		$90.85	$124.66	$169.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $89.67 / $170.81	Professional		$44.43	$89.67	$170.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $127.40 / $473.20	Professional		$69.23	$127.40	$473.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $127.40 / $169.34	Professional		$95.25	$127.40	$169.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $96.34 / $180.63	Professional		$63.22	$96.34	$180.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $102.70 / $148.69	Professional		$87.30	$102.70	$148.69