Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $121.06 / $160.77	Professional		$100.50	$121.06	$160.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $166.41 / $226.98	Professional		$133.13	$166.41	$226.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $111.96 / $177.73	Professional		$95.17	$111.96	$177.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.64 / $152.36 / $601.19	Facility		$100.64	$152.36	$601.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $193.19 / $509.42	Professional		$138.90	$193.19	$509.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $205.35 / $284.27	Facility		$157.71	$205.35	$284.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $207.46 / $321.99	Professional		$157.71	$207.46	$321.99
United Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $153.41 / $293.20	Professional		$129.91	$153.41	$293.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $170.90 / $170.90	Professional		$145.19	$170.90	$170.90