Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $50.84 / $89.11	Professional		$30.49	$50.84	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $102.52 / $160.69	Professional		$65.02	$102.52	$160.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $74.78 / $247.11	Professional		$31.00	$74.78	$247.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $89.11 / $151.33	Facility		$50.84	$89.11	$151.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $102.59 / $1,641.00	Professional		$57.49	$102.59	$1,641.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $106.13 / $143.46	Facility		$67.68	$106.13	$143.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $97.00 / $145.72	Professional		$66.95	$97.00	$145.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $80.94 / $150.76	Professional		$52.46	$80.94	$150.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $70.20 / $126.80	Professional		$59.70	$70.20	$126.80