Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $77.04 / $91.53	Professional		$65.95	$77.04	$91.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $107.38 / $184.99	Professional		$48.76	$107.38	$184.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $119.46 / $209.96	Professional		$77.39	$119.46	$209.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $108.86 / $360.34	Facility		$70.23	$108.86	$360.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $155.18 / $594.52	Professional		$95.32	$155.18	$594.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.86 / $117.00 / $198.71	Facility		$102.86	$117.00	$198.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $124.59 / $198.71	Professional		$102.86	$124.59	$198.71
United Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $95.32 / $207.51	Professional		$94.86	$95.32	$207.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $191.60 / $225.30	Professional		$150.40	$191.60	$225.30