Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.05 / $4,964.00 / $7,119.04	Facility		$168.05	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $21.91 / $31.09	Professional		$7.68	$21.91	$31.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $21.43 / $52.58	Professional		$7.88	$21.43	$52.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $21.76 / $49.40	Professional		$6.83	$21.76	$49.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $29.90 / $1,341.00	Facility		$10.14	$29.90	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $35.72 / $85.01	Professional		$18.20	$35.72	$85.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $29.63 / $55.69	Facility		$12.54	$29.63	$55.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $30.18 / $55.69	Professional		$12.54	$30.18	$55.69
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 $23.10 / $33.50 / $54.71	Professional		$23.10	$33.50	$54.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.10 / $39.70	Professional		$10.30	$12.10	$39.70