Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $2,511.89 / $6,760.83	Facility		$70.79	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $144.54 / $338.84	Professional		$40.74	$144.54	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $208.93 / $630.96	Professional		$66.07	$208.93	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $263.03 / $398.11	Professional		$44.67	$263.03	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $338.84 / $1,202.26	Facility		$79.43	$338.84	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $398.11 / $1,905.46	Professional		$138.04	$398.11	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $363.08 / $575.44	Professional		$100.00	$363.08	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $275.42 / $575.44	Professional		$77.62	$275.42	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $165.96 / $467.74	Professional		$51.29	$165.96	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $467.74	Professional		$85.11	$104.71	$467.74