Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $89.13	Facility		$50.12	$50.12	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $91.20	Professional		$28.84	$50.12	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $165.96	Professional		$63.10	$102.33	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $269.15	Professional		$32.36	$67.61	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $1,148.15	Facility		$50.12	$85.11	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $1,659.59	Professional		$54.95	$102.33	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $151.36	Professional		$74.13	$120.23	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $151.36	Professional		$64.57	$102.33	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $1,202.26 / $2,344.23	Facility		$63.10	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $131.83	Professional		$35.48	$63.10	$131.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $125.89	Professional		$60.26	$70.79	$125.89