Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $954.99 / $6,025.60	Facility		$60.26	$954.99	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $131.83	Professional		$21.88	$43.65	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $120.23	Professional		$35.48	$61.66	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $52.48 / $125.89	Professional		$22.39	$52.48	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.66 / $1,621.81	Facility		$29.51	$61.66	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $173.78	Professional		$26.30	$45.71	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $77.62	Professional		$29.51	$54.95	$77.62
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 $20.89 / $37.15 / $87.10	Professional		$20.89	$37.15	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $66.07	Professional		$30.20	$35.48	$66.07