Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $65.68 / $81.14	Professional		$58.63	$65.68	$81.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $102.19 / $136.91	Professional		$81.75	$102.19	$136.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.98 / $111.90	Professional		$61.66	$75.98	$111.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $92.58 / $368.27	Facility		$60.07	$92.58	$368.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $116.36 / $314.89	Professional		$83.66	$116.36	$314.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $126.29 / $174.04	Facility		$94.88	$126.29	$174.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $129.97 / $200.34	Professional		$94.88	$129.97	$200.34
United Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $96.54 / $176.59	Professional		$76.89	$96.54	$176.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $104.60 / $104.60	Professional		$88.90	$104.60	$104.60