Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $135.16 / $219.79	Professional		$115.92	$135.16	$219.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $262.41 / $328.01	Professional		$188.13	$262.41	$328.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $161.32 / $277.62	Professional		$113.50	$161.32	$277.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $254.45 / $431.67	Professional		$145.30	$254.45	$431.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $256.24 / $313.57	Professional		$165.00	$256.24	$313.57
United Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $211.85 / $352.64	Professional		$137.08	$211.85	$352.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.80 / $155.80 / $183.30	Professional		$155.80	$155.80	$183.30