Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $4,677.35	Facility		$67.61	$67.61	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $123.03	Professional		$45.71	$60.26	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $131.83	Professional		$102.33	$120.23	$131.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $371.54	Professional		$46.77	$74.13	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $144.54 / $2,344.23	Facility		$93.33	$144.54	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $208.93	Professional		$66.07	$112.20	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $213.80	Professional		$120.23	$131.83	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $138.04	Professional		$104.71	$104.71	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $173.78	Professional		$63.10	$89.13	$173.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $117.49	Professional		$79.43	$100.00	$117.49