Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $3,019.95 / $6,456.54	Facility		$61.66	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $199.53	Professional		$32.36	$48.98	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $131.83	Professional		$66.07	$97.72	$131.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $204.17	Professional		$33.88	$58.88	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $1,148.15	Facility		$48.98	$97.72	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $309.03	Professional		$51.29	$104.71	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $125.89	Professional		$81.28	$102.33	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $112.20	Professional		$66.07	$107.15	$112.20
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 $36.31 / $61.66 / $117.49	Professional		$36.31	$61.66	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $102.33	Professional		$66.07	$77.62	$102.33