Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $104.18 / $425.64	Professional		$72.09	$104.18	$425.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $163.31 / $204.14	Professional		$88.22	$163.31	$204.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $99.99 / $142.46	Professional		$74.06	$99.99	$142.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.34 / $104.18 / $187.90	Facility		$83.34	$104.18	$187.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $90.61 / $206.57	Professional		$44.75	$90.61	$206.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $83.34 / $187.90	Facility		$49.88	$83.34	$187.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $109.05 / $187.90	Professional		$49.88	$109.05	$187.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $84.95 / $149.88	Professional		$47.11	$84.95	$149.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $114.20 / $134.30	Professional		$90.22	$114.20	$134.30