Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $123.09 / $123.09	Facility		$22.04	$123.09	$123.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $27.07 / $93.20	Professional		$9.38	$27.07	$93.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $25.32 / $91.54	Professional		$20.26	$25.32	$91.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $42.38 / $71.94	Professional		$8.40	$42.38	$71.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $55.00 / $1,607.00	Facility		$20.89	$55.00	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $59.09 / $183.00	Professional		$23.67	$59.09	$183.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $57.02 / $77.95	Facility		$21.89	$57.02	$77.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $49.75 / $77.95	Professional		$20.30	$49.75	$77.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $61.84 / $85.58	Professional		$29.53	$61.84	$85.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.20 / $73.00	Professional		$18.00	$21.20	$73.00