Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $85.55 / $114.17	Professional		$63.08	$85.55	$114.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $124.31 / $230.88	Professional		$73.88	$124.31	$230.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $90.03 / $311.39	Professional		$55.71	$90.03	$311.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $157.16 / $419.76	Professional		$106.28	$157.16	$419.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $148.79 / $227.13	Professional		$106.67	$148.79	$227.13
United Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $138.63 / $264.52	Professional		$104.51	$138.63	$264.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $142.30 / $209.30	Professional		$120.90	$142.30	$209.30