Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $171.02 / $876.63	Professional		$118.28	$171.02	$876.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $264.50 / $330.63	Professional		$152.18	$264.50	$330.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $160.02 / $637.98	Professional		$120.36	$160.02	$637.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $171.02 / $308.16	Facility		$31.47	$171.02	$308.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $186.69 / $499.77	Professional		$116.15	$186.69	$499.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $152.18 / $308.16	Facility		$31.47	$152.18	$308.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $152.18 / $308.16	Professional		$31.47	$152.18	$308.16
United Facility/Professional Professional Modifier Low / Median / High Price $124.78 / $179.58 / $308.81	Professional		$124.78	$179.58	$308.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $185.80 / $218.60	Professional		$146.78	$185.80	$218.60