Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.75 / $758.92 / $3,141.00	Professional		$569.75	$758.92	$3,141.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $418.97 / $786.83 / $906.63	Professional	54	$418.97	$786.83	$906.63
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $83.79 / $157.37 / $181.33	Professional	55	$83.79	$157.37	$181.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.23 / $1,402.46 / $1,885.77	Professional		$622.23	$1,402.46	$1,885.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $500.32 / $830.36 / $1,378.40	Professional		$500.32	$830.36	$1,378.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $866.55 / $1,593.71 / $4,663.00	Facility		$866.55	$1,593.71	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $765.53 / $1,433.88 / $4,491.92	Professional		$765.53	$1,433.88	$4,491.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $798.51 / $1,279.72 / $1,818.70	Facility		$798.51	$1,279.72	$1,818.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,026.00 / $1,404.19 / $1,848.91	Professional		$1,026.00	$1,404.19	$1,848.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.49 / $1,041.22 / $1,952.28	Professional		$714.49	$1,041.22	$1,952.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,027.00 / $1,300.00 / $1,529.40	Professional		$1,027.00	$1,300.00	$1,529.40