Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $231.77 / $1,151.03	Professional		$159.97	$231.77	$1,151.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.54 / $353.84 / $442.29	Professional		$224.54	$353.84	$442.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $216.23 / $370.69	Professional		$150.00	$216.23	$370.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $291.95 / $771.93	Professional		$185.09	$291.95	$771.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $324.87 / $423.13	Professional		$231.25	$324.87	$423.13
United Facility/Professional Professional Modifier Low / Median / High Price $177.54 / $249.06 / $427.16	Professional		$177.54	$249.06	$427.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $197.82 / $250.40 / $294.60	Professional		$197.82	$250.40	$294.60