Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $111.28 / $443.00	Professional		$73.45	$111.28	$443.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $140.56 / $157.03	Professional		$125.62	$140.56	$157.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $78.53 / $253.76	Professional		$51.66	$78.53	$253.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $113.00 / $175.66	Professional		$82.45	$113.00	$175.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $133.94 / $175.29	Professional		$99.66	$133.94	$175.29
United Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $104.48 / $172.82	Professional		$75.09	$104.48	$172.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $112.80 / $112.80	Professional		$112.80	$112.80	$112.80