Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $2,563.00 / $6,446.00	Facility		$97.21	$2,563.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $6.60 / $9.00	Professional		$5.66	$6.60	$9.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $10.30 / $11.72	Professional		$9.38	$10.30	$11.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $11.36 / $15.91	Professional		$5.66	$11.36	$15.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $10.30 / $23.63	Facility		$3.76	$10.30	$23.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.00 / $10.91	Professional		$1.80	$3.00	$10.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $10.30 / $23.63	Facility		$2.70	$10.30	$23.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.00 / $11.57	Professional		$3.30	$5.00	$11.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $9.68	Professional		$1.80	$1.80	$9.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.09 / $9.09	Professional		$7.18	$9.09	$9.09