Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $81.77 / $122.57	Professional		$65.94	$81.77	$122.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $157.38 / $229.39	Professional		$65.20	$157.38	$229.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $98.11 / $217.01	Professional		$63.25	$98.11	$217.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $139.57 / $231.72	Facility		$72.59	$139.57	$231.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $107.32 / $242.94	Professional		$78.44	$107.32	$242.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.95 / $178.30 / $213.30	Facility		$126.95	$178.30	$213.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $170.14 / $229.39	Professional		$119.00	$170.14	$229.39
United Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $94.96 / $190.73	Professional		$78.44	$94.96	$190.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $160.80 / $167.30	Professional		$117.80	$160.80	$167.30