Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.30 / $2,218.00 / $6,298.62	Facility		$99.30	$2,218.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $108.05 / $241.00	Professional		$40.28	$108.05	$241.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $95.44 / $169.45	Professional		$54.96	$95.44	$169.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $62.00 / $106.34	Professional		$32.82	$62.00	$106.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $91.33 / $1,341.00	Facility		$51.82	$91.33	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $84.29 / $242.32	Professional		$55.52	$84.29	$242.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $95.95 / $148.62	Facility		$66.00	$95.95	$148.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $85.27 / $142.93	Professional		$63.37	$85.27	$142.93
United Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $387.42 / $1,966.00	Facility		$169.25	$387.42	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $75.70 / $123.65	Professional		$51.17	$75.70	$123.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $69.09 / $120.70	Professional		$58.70	$69.09	$120.70