Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,182.82	Facility		$3,496.00	$5,091.00	$7,182.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,540.79 / $4,540.79 / $4,540.79	Facility	50	$4,540.79	$4,540.79	$4,540.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $644.40 / $1,314.00	Professional		$386.06	$644.40	$1,314.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $191.36 / $201.91 / $760.80	Professional	52	$191.36	$201.91	$760.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.63 / $911.55 / $1,158.44	Professional		$565.63	$911.55	$1,158.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $246.15 / $588.67 / $1,199.35	Professional		$246.15	$588.67	$1,199.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.53 / $1,137.33 / $8,545.00	Facility		$614.53	$1,137.33	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $560.78 / $1,073.71 / $2,434.00	Professional		$560.78	$1,073.71	$2,434.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $342.64 / $752.89 / $1,310.23	Facility		$342.64	$752.89	$1,310.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $579.33 / $935.98 / $1,344.20	Professional		$579.33	$935.98	$1,344.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,805.64 / $10,320.00	Facility		$4,700.00	$7,805.64	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.59 / $1,000.82 / $1,400.89	Professional		$475.59	$1,000.82	$1,400.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $531.10 / $624.90 / $964.80	Professional		$531.10	$624.90	$964.80