Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $7,079.46	Facility		$1,023.29	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $3,548.13	Professional		$602.56	$870.96	$3,548.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $831.76 / $2,041.74 / $5,495.41	Professional	50	$831.76	$2,041.74	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,445.44 / $2,187.76	Professional		$691.83	$1,445.44	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $2,089.30	Professional		$524.81	$891.25	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $6,606.93	Facility		$1,122.02	$1,819.70	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $7,244.36	Professional		$831.76	$1,445.44	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,995.26	Professional		$1,148.15	$1,548.82	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $7,762.47	Facility		$3,467.37	$5,888.44	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,862.09	Professional		$645.65	$954.99	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,621.81	Professional		$1,096.48	$1,318.26	$1,621.81