Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $3,019.95 / $6,456.54	Facility		$44.67	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $114.82	Professional		$22.91	$36.31	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $93.33	Professional		$46.77	$70.79	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $151.36	Professional		$23.44	$42.66	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $70.79 / $1,148.15	Facility		$35.48	$70.79	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $223.87	Professional		$37.15	$72.44	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $93.33	Professional		$58.88	$72.44	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $81.28	Professional		$47.86	$79.43	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $2,344.23	Facility		$660.69	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $85.11	Professional		$25.70	$43.65	$85.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $72.44	Professional		$46.77	$54.95	$72.44