Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $138.04	Professional		$75.86	$114.82	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $165.96 / $208.93	Professional		$58.88	$165.96	$208.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $162.18	Professional		$120.23	$141.25	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $208.93	Facility		$100.00	$141.25	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $123.03	Professional		$50.12	$70.79	$123.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $95.50	Professional		$50.12	$70.79	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82