Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $426.58	Professional		$141.25	$186.21	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $457.09	Professional		$363.08	$398.11	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $426.58	Professional		$141.25	$208.93	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $467.74	Professional		$177.83	$275.42	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $457.09	Professional		$295.12	$407.38	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $436.52	Professional		$177.83	$251.19	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $295.12	Professional		$199.53	$251.19	$295.12