Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $38.97 / $66.77	Professional		$30.27	$38.97	$66.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $80.13 / $110.05	Professional		$33.97	$80.13	$110.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $42.69 / $166.44	Professional		$27.74	$42.69	$166.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $88.99 / $6,608.00	Facility		$46.48	$88.99	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $82.98 / $241.20	Professional		$44.74	$82.98	$241.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.61 / $82.98 / $102.09	Facility		$70.61	$82.98	$102.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $85.14 / $107.27	Professional		$62.98	$85.14	$107.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $59.65 / $111.84	Professional		$41.01	$59.65	$111.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $71.90 / $84.60	Professional		$56.80	$71.90	$84.60