Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,912.34 / $6,446.00	Facility		$1,300.00	$2,912.34	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $75.98 / $234.00	Professional		$29.04	$75.98	$234.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $74.98 / $154.91	Professional		$57.47	$74.98	$154.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $70.50 / $128.88	Professional		$27.19	$70.50	$128.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $88.36 / $1,607.00	Facility		$41.90	$88.36	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $86.73 / $223.33	Professional		$59.57	$86.73	$223.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $77.70 / $147.16	Facility		$58.23	$77.70	$147.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $90.89 / $154.91	Professional		$58.23	$90.89	$154.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $80.51 / $158.87	Professional		$59.04	$80.51	$158.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $55.80 / $122.80	Professional		$47.40	$55.80	$122.80