Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $67.73 / $92.98	Professional		$58.37	$67.73	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $145.86 / $182.33	Professional		$95.15	$145.86	$182.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $76.54 / $203.64	Professional		$54.35	$76.54	$203.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $100.88 / $325.77	Professional		$65.68	$100.88	$325.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $122.73 / $166.91	Professional		$91.44	$122.73	$166.91
United Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $95.54 / $158.03	Professional		$64.91	$95.54	$158.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $137.50 / $161.69	Professional		$137.50	$137.50	$161.69