Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $2,834.13 / $6,446.00	Facility		$378.00	$2,834.13	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $71.48 / $289.64	Professional		$41.80	$71.48	$289.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $118.90 / $124.75	Professional		$97.39	$118.90	$124.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $78.84 / $131.84	Professional		$43.98	$78.84	$131.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.64 / $163.79 / $1,640.00	Facility		$91.64	$163.79	$1,640.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $109.46 / $192.23	Professional		$55.08	$109.46	$192.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $107.29 / $139.01	Facility		$82.49	$107.29	$139.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $107.29 / $144.96	Professional		$79.45	$107.29	$144.96
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 $52.01 / $103.75 / $149.71	Professional		$52.01	$103.75	$149.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $93.40 / $109.90	Professional		$73.79	$93.40	$109.90