Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $214.72 / $353.64	Professional		$49.28	$214.72	$353.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $81.38 / $92.47	Professional		$73.98	$81.38	$92.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $45.89 / $200.81	Professional		$30.53	$45.89	$200.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $77.73 / $109.28	Professional		$54.89	$77.73	$109.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $91.91 / $107.91	Professional		$68.23	$91.91	$107.91
United Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $68.06 / $98.43	Professional		$42.08	$68.06	$98.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $66.20	Professional		$66.20	$66.20	$66.20