Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,911.00 / $9,185.68	Facility		$4,146.00	$4,911.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.84 / $757.94 / $2,095.28	Professional		$455.84	$757.94	$2,095.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,181.43 / $3,736.50	Professional	50	$1,141.71	$1,181.43	$3,736.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.41 / $1,302.03 / $1,733.50	Professional		$562.41	$1,302.03	$1,733.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $431.88 / $720.42 / $1,694.01	Professional		$431.88	$720.42	$1,694.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,026.70 / $1,437.30 / $6,306.00	Facility		$1,026.70	$1,437.30	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $683.10 / $1,171.74 / $2,106.39	Professional		$683.10	$1,171.74	$2,106.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,040.02 / $1,427.85 / $1,908.09	Facility		$1,040.02	$1,427.85	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $934.38 / $1,244.90 / $1,609.33	Professional		$934.38	$1,244.90	$1,609.33
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 $626.17 / $910.80 / $1,707.75	Professional		$626.17	$910.80	$1,707.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.04 / $1,059.90 / $1,326.90	Professional		$891.04	$1,059.90	$1,326.90