Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $77.95 / $105.07	Professional		$66.66	$77.95	$105.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $108.28 / $145.32	Professional		$86.63	$108.28	$145.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $72.61 / $115.36	Professional		$61.72	$72.61	$115.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $125.00 / $328.88	Professional		$89.87	$125.00	$328.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $134.88 / $208.34	Professional		$100.87	$134.88	$208.34
United Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $104.61 / $189.66	Professional		$83.62	$104.61	$189.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $111.20 / $111.20	Professional		$94.50	$111.20	$111.20