Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $204.17	Professional		$64.57	$75.86	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $288.40	Professional		$83.18	$169.82	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $208.93 / $407.38	Professional		$69.18	$208.93	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $812.83	Professional		$89.13	$165.96	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $263.03	Professional		$144.54	$177.83	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $263.03	Professional		$177.83	$194.98	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $204.17	Professional		$75.86	$144.54	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Professional		$128.82	$128.82	$151.36