Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $76.55	Professional		$75.79	$75.79	$76.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $91.08 / $1,140.95	Professional		$72.86	$91.08	$1,140.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $137.18 / $537.03	Professional		$75.79	$137.18	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $155.26 / $1,140.00	Facility		$83.18	$155.26	$1,140.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $1,140.95	Professional		$83.18	$83.18	$1,140.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $136.15 / $647.38	Facility		$85.80	$136.15	$647.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $155.26 / $1,140.95	Professional		$85.80	$155.26	$1,140.95
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $96.25	Professional		$75.79	$75.79	$96.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $83.18 / $83.18	Professional		$65.70	$83.18	$83.18