Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,786.30 / $7,079.46	Facility		$758.58	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,778.28	Professional		$426.58	$676.08	$1,778.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $776.25 / $3,801.89	Professional	50	$77.62	$776.25	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,023.29 / $1,584.89	Professional		$501.19	$1,023.29	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,584.89	Professional		$389.05	$645.65	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $6,606.93	Facility		$794.33	$1,348.96	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $5,623.41	Professional		$588.84	$977.24	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,445.44	Professional		$933.25	$1,122.02	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
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 $467.74 / $676.08 / $1,318.26	Professional		$467.74	$676.08	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,202.26	Professional		$794.33	$954.99	$1,202.26