Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $160.97 / $228.47	Professional		$143.94	$160.97	$228.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $218.44 / $300.25	Professional		$174.75	$218.44	$300.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $147.13 / $233.67	Professional		$125.07	$147.13	$233.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.58 / $200.81 / $788.47	Facility		$137.58	$200.81	$788.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.54 / $270.58 / $715.15	Professional		$194.54	$270.58	$715.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.21 / $289.29 / $373.46	Facility		$208.21	$289.29	$373.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $293.11 / $450.97	Professional		$208.21	$293.11	$450.97
United Facility/Professional Professional Modifier Low / Median / High Price $181.69 / $219.47 / $410.65	Professional		$181.69	$219.47	$410.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $224.30 / $224.30	Professional		$190.70	$224.30	$224.30