Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $128.82 / $6,760.83	Facility		$14.13	$128.82	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $14.13 / $35.48	Professional		$6.03	$14.13	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $42.66	Professional		$16.60	$20.89	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $18.20 / $53.70	Professional		$7.59	$18.20	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $34.67 / $1,621.81	Facility		$15.85	$34.67	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $56.23	Professional		$16.22	$25.12	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $27.54 / $37.15	Professional		$16.98	$27.54	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,202.26 / $2,344.23	Facility		$128.82	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.60 / $33.11	Professional		$9.12	$16.60	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $30.20	Professional		$12.88	$15.14	$30.20