Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $109.25 / $131.93	Professional		$95.22	$109.25	$131.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $166.41 / $226.98	Professional		$133.13	$166.41	$226.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $123.59 / $202.65	Professional		$104.68	$123.59	$202.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.31 / $152.36 / $601.19	Facility		$99.31	$152.36	$601.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $191.33 / $513.59	Professional		$137.56	$191.33	$513.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $205.35 / $284.27	Facility		$157.71	$205.35	$284.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $213.99 / $331.50	Professional		$157.71	$213.99	$331.50
United Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $157.78 / $290.37	Professional		$126.18	$157.78	$290.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $170.90 / $170.90	Professional		$145.19	$170.90	$170.90