Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $66.84 / $81.29	Professional		$60.12	$66.84	$81.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $117.00 / $154.79	Professional		$81.75	$117.00	$154.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $100.00 / $150.86	Professional		$64.20	$100.00	$150.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.82 / $96.70 / $390.29	Facility		$61.82	$96.70	$390.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $119.72 / $443.34	Professional		$79.81	$119.72	$443.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $129.37 / $183.99	Facility		$110.15	$129.37	$183.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $129.37 / $204.00	Professional		$96.70	$129.37	$204.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $94.38 / $168.46	Professional		$68.92	$94.38	$168.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $107.40 / $151.00	Professional		$91.30	$107.40	$151.00