Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.03 / $2,546.00 / $6,298.62	Facility		$62.03	$2,546.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $39.28 / $144.00	Professional		$17.02	$39.28	$144.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $45.31 / $96.41	Professional		$31.30	$45.31	$96.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $38.97 / $58.32	Professional		$14.48	$38.97	$58.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $58.60 / $1,341.00	Facility		$27.61	$58.60	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $51.58 / $124.52	Professional		$34.09	$51.58	$124.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $49.12 / $89.82	Facility		$34.97	$49.12	$89.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $52.10 / $88.35	Professional		$31.30	$52.10	$88.35
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 $31.20 / $46.49 / $78.73	Professional		$31.20	$46.49	$78.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.00 / $69.09	Professional		$25.50	$30.00	$69.09