Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $109.41 / $132.85	Professional		$97.48	$109.41	$132.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $168.75 / $230.59	Professional		$135.00	$168.75	$230.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $112.88 / $180.96	Professional		$95.95	$112.88	$180.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $190.30 / $509.42	Professional		$136.82	$190.30	$509.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $212.35 / $336.95	Professional		$158.31	$212.35	$336.95
United Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $161.19 / $288.81	Professional		$130.49	$161.19	$288.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $174.20 / $174.20	Professional		$148.00	$174.20	$174.20