Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $234.42	Professional		$112.20	$125.89	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $338.84	Professional		$138.04	$269.15	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $275.42	Professional		$112.20	$162.18	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $588.84	Professional		$144.54	$229.09	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $316.23	Professional		$213.80	$288.40	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $288.40	Professional		$213.80	$229.09	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $331.13	Professional		$138.04	$199.53	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $181.97	Professional		$154.88	$154.88	$181.97