Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $2,218.00 / $6,298.62	Facility		$13.60	$2,218.00	$6,298.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $901.96 / $947.04 / $956.55	Facility	50	$901.96	$947.04	$956.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $173.49 / $503.00	Professional		$124.37	$173.49	$503.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.16 / $1,134.34 / $1,393.50	Professional	50	$416.16	$1,134.34	$1,393.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.61 / $308.74 / $390.52	Professional		$239.61	$308.74	$390.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $196.26 / $427.27	Professional		$116.61	$196.26	$427.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.43 / $302.04 / $734.94	Facility		$156.43	$302.04	$734.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $296.66 / $1,415.00	Professional		$144.04	$296.66	$1,415.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $289.00 / $384.43	Facility		$132.36	$289.00	$384.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $227.27 / $300.87 / $379.73	Professional		$227.27	$300.87	$379.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $201.12 / $407.14	Professional		$130.97	$201.12	$407.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $266.30 / $313.30	Professional		$210.38	$266.30	$313.30