Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $2,570.40 / $6,760.83	Facility		$67.61	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $194.98	Professional		$38.90	$46.77	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $125.89	Professional		$100.00	$109.65	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $245.47	Professional		$41.69	$67.61	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $199.53 / $1,905.46	Facility		$67.61	$199.53	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $162.18	Professional		$48.98	$97.72	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $371.54	Professional		$97.72	$114.82	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,398.83	Facility		$1,071.52	$1,698.24	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $134.90	Professional		$48.98	$70.79	$134.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $93.33	Professional		$61.66	$79.43	$93.33