Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $112.31 / $296.80	Professional		$84.48	$112.31	$296.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.78 / $282.64 / $353.31	Professional		$205.78	$282.64	$353.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $161.05 / $306.01	Professional		$123.58	$161.05	$306.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $219.36 / $357.00	Professional		$131.13	$219.36	$357.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $242.50 / $332.51	Professional		$167.24	$242.50	$332.51
United Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $175.28 / $289.94	Professional		$120.51	$175.28	$289.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $229.20 / $269.70	Professional		$229.20	$229.20	$269.70