Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $3,489.13 / $7,119.04	Facility		$152.00	$3,489.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $36.84 / $115.86	Professional		$22.69	$36.84	$115.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $69.86 / $91.54	Professional		$50.27	$69.86	$91.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $43.07 / $152.31	Professional		$23.71	$43.07	$152.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $69.86 / $770.22	Facility		$35.22	$69.86	$770.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $74.06 / $279.25	Professional		$36.82	$74.06	$279.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $61.36 / $93.37	Facility		$22.69	$61.36	$93.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.00 / $97.44	Professional		$51.49	$70.00	$97.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $54.50 / $100.62	Professional		$32.21	$54.50	$100.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $55.10 / $72.50	Professional		$46.80	$55.10	$72.50