Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $3,489.13 / $7,119.04	Facility		$226.00	$3,489.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $54.96 / $168.72	Professional		$34.53	$54.96	$168.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $97.52 / $127.58	Professional		$69.38	$97.52	$127.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $60.13 / $198.70	Professional		$34.08	$60.13	$198.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $97.06 / $770.22	Facility		$49.31	$97.06	$770.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $103.84 / $383.26	Professional		$51.49	$103.84	$383.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $84.78 / $126.98	Facility		$31.33	$84.78	$126.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $97.52 / $136.37	Professional		$69.36	$97.52	$136.37
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 $45.06 / $75.84 / $140.74	Professional		$45.06	$75.84	$140.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $77.00 / $101.20	Professional		$65.50	$77.00	$101.20