Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $73.34 / $98.69	Professional		$60.98	$73.34	$98.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $102.19 / $136.91	Professional		$81.75	$102.19	$136.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $68.51 / $108.59	Professional		$58.23	$68.51	$108.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $92.58 / $368.27	Facility		$61.66	$92.58	$368.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $117.29 / $312.08	Professional		$84.33	$117.29	$312.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $126.29 / $174.04	Facility		$94.88	$126.29	$174.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $127.01 / $195.48	Professional		$94.88	$127.01	$195.48
United Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $97.03 / $178.00	Professional		$72.83	$97.03	$178.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $104.60 / $104.60	Professional		$88.90	$104.60	$104.60