Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $553.05 / $919.81	Professional		$199.34	$553.05	$919.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $138.94 / $276.52 / $525.82	Professional	52	$138.94	$276.52	$525.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.22 / $1,239.44 / $1,662.40	Professional		$394.22	$1,239.44	$1,662.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $778.47 / $1,242.19	Professional		$165.69	$778.47	$1,242.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.37 / $1,416.51 / $8,400.95	Facility		$427.37	$1,416.51	$8,400.95
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $644.26 / $644.26 / $644.26	Facility	52	$644.26	$644.26	$644.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.56 / $1,299.02 / $3,434.00	Professional		$430.56	$1,299.02	$3,434.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $430.56 / $1,148.00 / $3,216.33	Facility		$430.56	$1,148.00	$3,216.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.18 / $1,083.95 / $1,651.85	Professional		$387.18	$1,083.95	$1,651.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.88 / $1,324.07 / $1,924.53	Professional		$679.88	$1,324.07	$1,924.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $417.60 / $1,336.90	Professional		$355.00	$417.60	$1,336.90