Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $115.58 / $121.44	Professional		$73.48	$115.58	$121.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $207.19 / $213.58	Professional		$58.29	$207.19	$213.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $142.87 / $160.37	Professional		$121.44	$142.87	$160.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.06 / $142.87 / $278.60	Facility		$106.06	$142.87	$278.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $71.27 / $142.55	Professional		$56.92	$71.27	$142.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $157.16 / $278.60	Facility		$142.29	$157.16	$278.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $278.60 / $278.60	Professional		$126.59	$278.60	$278.60
United Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $71.27 / $95.04	Professional		$50.49	$71.27	$95.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $128.58 / $128.58	Professional		$101.58	$128.58	$128.58