Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,261.60 / $6,446.00	Facility		$2,234.00	$3,261.60	$6,446.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,420.24 / $3,420.24 / $3,420.24	Facility	50	$3,420.24	$3,420.24	$3,420.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $775.53 / $1,289.15	Professional		$172.78	$775.53	$1,289.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.47 / $79.47 / $79.47	Professional	50	$79.47	$79.47	$79.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $462.59 / $2,331.46	Professional		$370.07	$462.59	$2,331.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $1,049.57 / $1,712.61	Professional		$160.47	$1,049.57	$1,712.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.80 / $1,475.05 / $2,321.40	Facility		$394.80	$1,475.05	$2,321.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.15 / $1,722.53 / $3,076.29	Professional		$401.15	$1,722.53	$3,076.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $401.15 / $1,536.00 / $2,321.40	Facility		$401.15	$1,536.00	$2,321.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $1,446.43 / $2,321.40	Professional		$374.09	$1,446.43	$2,321.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.80 / $1,694.68 / $2,678.01	Professional		$932.80	$1,694.68	$2,678.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $403.50 / $1,873.80	Professional		$343.00	$403.50	$1,873.80