Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $137.85 / $196.39	Professional		$79.31	$137.85	$196.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.51 / $222.00 / $861.51	Professional	50	$165.51	$222.00	$861.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $197.58 / $278.52	Professional		$96.26	$197.58	$278.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $112.74 / $223.92	Professional		$68.95	$112.74	$223.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.31 / $255.21 / $1,371.00	Facility		$155.31	$255.21	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $205.82 / $595.60	Professional		$104.39	$205.82	$595.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.49 / $206.69 / $257.01	Facility		$172.49	$206.69	$257.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $206.69 / $263.48	Professional		$135.47	$206.69	$263.48
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 $95.69 / $141.25 / $283.18	Professional		$95.69	$141.25	$283.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $175.80 / $210.60	Professional		$141.41	$175.80	$210.60