Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.36 / $4,034.21 / $6,408.55	Facility		$940.36	$4,034.21	$6,408.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,836.01 / $7,836.01 / $7,836.01	Facility	50	$7,836.01	$7,836.01	$7,836.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.93 / $756.51 / $1,818.25	Professional		$494.93	$756.51	$1,818.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.96 / $877.17 / $1,348.98	Professional		$694.96	$877.17	$1,348.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.04 / $701.96 / $1,458.92	Professional		$304.04	$701.96	$1,458.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.72 / $1,333.11 / $8,545.00	Facility		$750.72	$1,333.11	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $682.16 / $1,257.23 / $2,975.00	Professional		$682.16	$1,257.23	$2,975.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.81 / $893.61 / $1,522.54	Facility		$384.81	$893.61	$1,522.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $714.69 / $1,144.78 / $1,594.78	Professional		$714.69	$1,144.78	$1,594.78
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 $555.98 / $1,169.97 / $1,665.32	Professional		$555.98	$1,169.97	$1,665.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $655.20 / $770.90 / $1,144.50	Professional		$655.20	$770.90	$1,144.50