Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $63.10 / $218.78	Facility		$27.54	$63.10	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $302.00	Professional		$30.90	$61.66	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $194.98	Professional		$66.07	$120.23	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $81.28 / $154.88	Professional		$33.11	$81.28	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $112.20 / $1,023.29	Facility		$51.29	$112.20	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $363.08	Professional		$64.57	$120.23	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $169.82	Professional		$77.62	$134.90	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $169.82	Professional		$66.07	$123.03	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $2,344.23	Facility		$602.56	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $151.36	Professional		$34.67	$70.79	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $151.36	Professional		$64.57	$75.86	$151.36