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 $197.91 / $675.19 / $2,683.47	Professional		$197.91	$675.19	$2,683.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.39 / $1,016.01 / $1,362.45	Professional		$429.39	$1,016.01	$1,362.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $554.41 / $1,889.00	Professional		$196.80	$554.41	$1,889.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $429.39 / $1,165.55 / $5,988.00	Facility		$429.39	$1,165.55	$5,988.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.49 / $978.08 / $1,842.83	Professional		$487.49	$978.08	$1,842.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.02 / $1,141.70 / $1,776.52	Facility		$457.02	$1,141.70	$1,776.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $429.39 / $883.47 / $1,451.25	Professional		$429.39	$883.47	$1,451.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.52 / $749.84 / $1,525.60	Professional		$515.52	$749.84	$1,525.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $378.60 / $445.50 / $1,054.00	Professional		$378.60	$445.50	$1,054.00