Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,387.21 / $3,678.60 / $6,556.90	Facility	50	$2,387.21	$3,678.60	$6,556.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.23 / $836.00 / $3,381.67	Professional		$551.23	$836.00	$3,381.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $167.80 / $1,338.93 / $4,838.22	Professional	50	$167.80	$1,338.93	$4,838.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.95 / $1,437.44 / $1,796.80	Professional		$743.95	$1,437.44	$1,796.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $495.30 / $844.92 / $1,589.81	Professional		$495.30	$844.92	$1,589.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.42 / $1,392.00 / $5,023.00	Facility		$716.42	$1,392.00	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $700.55 / $1,213.96 / $4,128.96	Professional		$700.55	$1,213.96	$4,128.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,199.41 / $1,471.64 / $1,913.58	Facility		$1,199.41	$1,471.64	$1,913.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,036.93 / $1,352.97 / $1,702.04	Professional		$1,036.93	$1,352.97	$1,702.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.98 / $875.69 / $1,666.14	Professional		$612.98	$875.69	$1,666.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.74 / $1,102.20 / $1,296.70	Professional		$870.74	$1,102.20	$1,296.70