Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $76.66 / $317.00	Professional		$61.82	$76.66	$317.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $90.00 / $110.98	Professional		$72.00	$90.00	$110.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $55.93 / $276.66	Professional		$53.15	$55.93	$276.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $91.22 / $182.00	Professional		$32.11	$91.22	$182.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $126.11 / $215.88	Professional		$83.46	$126.11	$215.88
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $39.71 / $112.43	Professional		$32.11	$39.71	$112.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $88.00 / $103.60	Professional		$69.52	$88.00	$103.60