Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $954.99 / $5,370.32	Facility		$51.29	$954.99	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $67.61 / $186.21	Professional		$28.84	$67.61	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $245.47	Professional		$48.98	$104.71	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $97.72 / $223.87	Professional		$31.62	$97.72	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $144.54 / $1,318.26	Facility		$54.95	$144.54	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $1,659.59	Professional		$54.95	$107.15	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $218.78	Professional		$66.07	$89.13	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $204.17	Professional		$69.18	$79.43	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,318.26 / $2,344.23	Facility		$741.31	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $85.11 / $194.98	Professional		$37.15	$85.11	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $181.97	Professional		$60.26	$74.13	$181.97