Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $122.10 / $161.62	Professional		$102.95	$122.10	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $168.75 / $230.59	Professional		$135.00	$168.75	$230.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $112.88 / $180.96	Professional		$95.95	$112.88	$180.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.65 / $191.46 / $506.62	Professional		$137.65	$191.46	$506.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $207.36 / $319.11	Professional		$158.31	$207.36	$319.11
United Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $155.11 / $290.58	Professional		$118.88	$155.11	$290.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $174.20 / $174.20	Professional		$148.00	$174.20	$174.20