Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $69.86 / $85.98	Professional		$63.46	$69.86	$85.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $108.28 / $145.32	Professional		$86.63	$108.28	$145.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $72.61 / $115.36	Professional		$61.72	$72.61	$115.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $124.30 / $331.69	Professional		$89.36	$124.30	$331.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $138.62 / $218.56	Professional		$100.87	$138.62	$218.56
United Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $111.67 / $221.63	Professional		$85.30	$111.67	$221.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $111.20 / $111.20	Professional		$94.50	$111.20	$111.20