Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $74.03 / $96.24	Professional		$62.26	$74.03	$96.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $101.72 / $139.31	Professional		$81.38	$101.72	$139.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $67.59 / $108.57	Professional		$57.46	$67.59	$108.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $92.00 / $378.53	Facility		$62.10	$92.00	$378.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $113.69 / $303.70	Professional		$81.73	$113.69	$303.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.42 / $122.37 / $172.41	Facility		$95.42	$122.37	$172.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $123.98 / $189.49	Professional		$95.42	$123.98	$189.49
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $92.28 / $172.55	Professional		$70.59	$92.28	$172.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $105.10 / $105.10	Professional		$89.30	$105.10	$105.10