Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $62.68 / $189.00	Professional		$30.68	$62.68	$189.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $46.75 / $94.47	Professional		$36.38	$46.75	$94.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $43.16 / $109.62	Professional		$16.93	$43.16	$109.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $63.66 / $1,607.00	Facility		$23.10	$63.66	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $63.70 / $163.00	Professional		$38.22	$63.70	$163.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.49 / $71.33 / $95.36	Facility		$37.49	$71.33	$95.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $62.98 / $93.37	Professional		$36.38	$62.98	$93.37
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 $35.04 / $50.96 / $95.55	Professional		$35.04	$50.96	$95.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $34.90 / $68.40	Professional		$29.60	$34.90	$68.40