Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.65 / $2,293.00 / $6,298.62	Facility		$47.65	$2,293.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $36.57 / $113.00	Professional		$22.38	$36.57	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $45.77 / $69.15	Professional		$25.74	$45.77	$69.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $29.50 / $94.85	Professional		$15.54	$29.50	$94.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $44.44 / $1,607.00	Facility		$25.08	$44.44	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $47.09 / $3,376.87	Professional		$29.53	$47.09	$3,376.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $53.12 / $76.08	Facility		$36.38	$53.12	$76.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $52.16 / $67.47	Professional		$34.97	$52.16	$67.47
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 $27.07 / $39.38 / $89.98	Professional		$27.07	$39.38	$89.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $34.90 / $50.90	Professional		$29.60	$34.90	$50.90