Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $186.23 / $227.23	Professional		$166.24	$186.23	$227.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $285.00 / $389.13	Professional		$228.00	$285.00	$389.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $190.92 / $305.13	Professional		$162.28	$190.92	$305.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.49 / $327.54 / $874.68	Professional		$235.49	$327.54	$874.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.16 / $356.02 / $575.55	Professional		$269.16	$356.02	$575.55
United Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $261.50 / $497.09	Professional		$224.78	$261.50	$497.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.40 / $293.39 / $293.39	Professional		$249.40	$293.39	$293.39