Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.60 / $603.00 / $7,119.04	Facility		$111.60	$603.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $14.50 / $33.63	Professional		$7.09	$14.50	$33.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $20.45 / $41.88	Professional		$14.05	$20.45	$41.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $18.80 / $34.44	Professional		$7.51	$18.80	$34.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $27.63 / $1,341.00	Facility		$14.50	$27.63	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $27.63 / $119.00	Professional		$16.19	$27.63	$119.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $27.63 / $42.27	Facility		$17.17	$27.63	$42.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $27.13 / $41.24	Professional		$17.17	$27.13	$41.24
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 $14.84 / $20.23 / $39.79	Professional		$14.84	$20.23	$39.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $15.30 / $30.00	Professional		$13.00	$15.30	$30.00