Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $65.98 / $80.20	Professional		$57.93	$65.98	$80.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $101.72 / $139.31	Professional		$81.38	$101.72	$139.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $67.59 / $108.57	Professional		$57.46	$67.59	$108.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $91.87 / $378.53	Facility		$60.50	$91.87	$378.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $113.65 / $303.70	Professional		$81.73	$113.65	$303.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.42 / $122.85 / $172.41	Facility		$95.42	$122.85	$172.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $123.44 / $202.17	Professional		$95.42	$123.44	$202.17
United Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $96.07 / $172.55	Professional		$76.48	$96.07	$172.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $105.10 / $105.10	Professional		$89.30	$105.10	$105.10