Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $207.54 / $277.56	Professional		$174.81	$207.54	$277.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $285.00 / $389.13	Professional		$228.00	$285.00	$389.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $190.92 / $305.13	Professional		$162.28	$190.92	$305.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $328.49 / $869.06	Professional		$236.17	$328.49	$869.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.16 / $356.23 / $547.49	Professional		$269.16	$356.23	$547.49
United Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $276.26 / $498.53	Professional		$220.77	$276.26	$498.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.40 / $293.39 / $293.39	Professional		$249.40	$293.39	$293.39