Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,011.87 / $7,943.28	Facility		$831.76	$5,011.87	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $3,715.35 / $6,606.93	Facility	50	$2,398.83	$3,715.35	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $3,388.44	Professional		$501.19	$758.58	$3,388.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.95 / $1,659.59 / $5,011.87	Professional	50	$707.95	$1,659.59	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,819.70	Professional		$1,288.25	$1,479.11	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,584.89	Professional		$489.78	$812.83	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $5,495.41	Facility		$758.58	$1,479.11	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,995.26	Professional		$691.83	$1,202.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,659.59	Professional		$1,202.26	$1,380.38	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,548.82	Professional		$588.84	$831.76	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,288.25	Professional		$870.96	$1,096.48	$1,288.25