Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $52.06 / $198.00	Professional		$33.04	$52.06	$198.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $90.25 / $119.79	Professional		$40.06	$90.25	$119.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $51.00 / $132.69	Professional		$30.91	$51.00	$132.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $97.41 / $1,371.00	Facility		$66.00	$97.41	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $87.54 / $420.00	Professional		$47.68	$87.54	$420.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $90.25 / $110.49	Facility		$66.00	$90.25	$110.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $88.84 / $110.49	Professional		$66.00	$88.84	$110.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $63.57 / $119.19	Professional		$43.70	$63.57	$119.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $75.70 / $92.00	Professional		$61.78	$75.70	$92.00