Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $2,293.00 / $6,298.62	Facility		$71.97	$2,293.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $59.86 / $666.00	Professional		$22.93	$59.86	$666.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $71.19 / $112.97	Professional		$38.59	$71.19	$112.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $47.93 / $91.50	Professional		$23.06	$47.93	$91.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $61.52 / $1,607.00	Facility		$32.49	$61.52	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $75.59 / $185.20	Professional		$43.19	$75.59	$185.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $78.54 / $118.46	Facility		$53.87	$78.54	$118.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $78.54 / $110.19	Professional		$53.87	$78.54	$110.19
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 $41.95 / $56.84 / $102.36	Professional		$41.95	$56.84	$102.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $51.60 / $83.00	Professional		$43.90	$51.60	$83.00