Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $161.62 / $687.29	Professional		$111.51	$161.62	$687.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $249.85 / $312.31	Professional		$150.77	$249.85	$312.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $152.59 / $280.01	Professional		$116.55	$152.59	$280.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $158.80 / $397.07	Professional		$101.12	$158.80	$397.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $221.37 / $290.55	Professional		$118.88	$221.37	$290.55
United Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $158.80 / $262.68	Professional		$109.18	$158.80	$262.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $176.80 / $208.00	Professional		$139.66	$176.80	$208.00