Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $134.90	Professional		$93.33	$107.15	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $229.09	Professional		$134.90	$169.82	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $151.36	Professional		$95.50	$112.20	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $794.33	Professional		$131.83	$190.55	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $501.19	Professional		$158.49	$229.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $288.40	Professional		$128.82	$165.96	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $173.78	Professional		$147.91	$147.91	$173.78