Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $1,448.96 / $6,298.62	Facility		$63.59	$1,448.96	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $33.47 / $115.42	Professional		$17.43	$33.47	$115.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $60.19 / $92.82	Professional		$31.93	$60.19	$92.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $54.22 / $125.68	Professional		$22.47	$54.22	$125.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $60.75 / $1,371.00	Facility		$29.03	$60.75	$1,371.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $44.82 / $210.38	Professional		$26.45	$44.82	$210.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $46.07 / $91.00	Facility		$19.23	$46.07	$91.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $49.01 / $97.28	Professional		$19.91	$49.01	$97.28
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 $28.47 / $43.51 / $86.41	Professional		$28.47	$43.51	$86.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $35.29 / $65.70	Professional		$30.00	$35.29	$65.70