Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $75.12 / $440.43	Professional		$51.98	$75.12	$440.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $123.66 / $152.66	Professional		$122.13	$123.66	$152.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $74.41 / $261.18	Professional		$48.80	$74.41	$261.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $119.00 / $160.53	Professional		$79.68	$119.00	$160.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $131.21 / $160.53	Professional		$111.31	$131.21	$160.53
United Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $93.74 / $159.36	Professional		$67.38	$93.74	$159.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $108.40 / $108.40	Professional		$108.40	$108.40	$108.40