Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.61 / $441.22 / $3,259.25	Facility		$136.61	$441.22	$3,259.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $93.67 / $257.00	Professional		$30.03	$93.67	$257.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $89.85 / $262.58	Professional		$43.47	$89.85	$262.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $96.39 / $165.00	Professional		$32.90	$96.39	$165.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $127.45 / $1,204.00	Facility		$46.40	$127.45	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $91.23 / $377.66	Professional		$52.21	$91.23	$377.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $96.91 / $174.15	Facility		$40.95	$96.91	$174.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $96.91 / $174.15	Professional		$42.35	$96.91	$174.15
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 $61.28 / $90.77 / $98.89	Professional		$61.28	$90.77	$98.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $51.50 / $146.50	Professional		$43.70	$51.50	$146.50