Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $93.67 / $417.00	Professional		$79.17	$93.67	$417.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $147.99 / $177.09	Professional		$89.33	$147.99	$177.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $82.84 / $227.14	Professional		$56.46	$82.84	$227.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $120.82 / $316.64	Professional		$72.25	$120.82	$316.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $140.83 / $188.56	Professional		$99.65	$140.83	$188.56
United Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $100.53 / $169.63	Professional		$69.11	$100.53	$169.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $99.70 / $117.30	Professional		$78.76	$99.70	$117.30