Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $34.77 / $48.24	Professional		$26.32	$34.77	$48.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $61.94 / $111.66	Professional		$49.55	$61.94	$111.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $39.52 / $255.53	Professional		$24.83	$39.52	$255.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $103.56 / $2,126.00	Facility		$56.39	$103.56	$2,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $90.74 / $163.78	Professional		$50.79	$90.74	$163.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $86.25 / $111.66	Facility		$53.25	$86.25	$111.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $86.25 / $112.89	Professional		$48.64	$86.25	$112.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $99.26 / $133.61	Professional		$50.53	$99.26	$133.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $53.40 / $62.80	Professional		$42.19	$53.40	$62.80