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 $571.98 / $895.75 / $3,642.57	Professional		$571.98	$895.75	$3,642.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $830.21 / $5,211.51 / $5,463.86	Professional	50	$830.21	$5,211.51	$5,463.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.80 / $1,361.09 / $2,123.05	Professional		$622.80	$1,361.09	$2,123.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $531.85 / $883.52 / $1,692.51	Professional		$531.85	$883.52	$1,692.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,127.76 / $1,749.13 / $6,306.00	Facility		$1,127.76	$1,749.13	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $817.24 / $1,445.66 / $2,280.50	Professional		$817.24	$1,445.66	$2,280.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,148.00 / $1,614.54 / $2,054.87	Facility		$1,148.00	$1,614.54	$2,054.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,127.00 / $1,470.58 / $1,975.63	Professional		$1,127.00	$1,470.58	$1,975.63
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 $770.61 / $1,120.88 / $2,073.73	Professional		$770.61	$1,120.88	$2,073.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,092.25 / $1,312.80 / $1,626.50	Professional		$1,092.25	$1,312.80	$1,626.50