Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $407.38	Professional		$47.86	$102.33	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $302.00	Professional		$95.50	$141.25	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $120.23 / $524.81	Professional		$50.12	$120.23	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $407.38	Professional		$95.50	$173.78	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $263.03	Professional		$120.23	$213.80	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $245.47	Professional		$102.33	$181.97	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $234.42	Professional		$53.70	$104.71	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $234.42	Professional		$97.72	$117.49	$234.42