Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $92.27 / $112.95	Professional		$80.94	$92.27	$112.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $142.50 / $195.76	Professional		$114.00	$142.50	$195.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $94.85 / $152.30	Professional		$80.62	$94.85	$152.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.45 / $128.87 / $529.32	Facility		$84.45	$128.87	$529.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $158.52 / $426.85	Professional		$113.97	$158.52	$426.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $171.23 / $241.75	Facility		$133.46	$171.23	$241.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $172.05 / $282.32	Professional		$133.46	$172.05	$282.32
United Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $142.78 / $285.22	Professional		$108.79	$142.78	$285.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $147.19 / $147.19	Professional		$125.10	$147.19	$147.19