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 $414.57 / $721.33 / $2,517.00	Professional		$414.57	$721.33	$2,517.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $780.44 / $3,775.50	Professional	50	$78.04	$780.44	$3,775.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.50 / $993.35 / $1,545.79	Professional		$504.50	$993.35	$1,545.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $386.39 / $643.41 / $1,243.17	Professional		$386.39	$643.41	$1,243.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,261.06 / $6,306.00	Facility		$775.00	$1,261.06	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $571.53 / $983.64 / $1,665.40	Professional		$571.53	$983.64	$1,665.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $935.96 / $1,304.57 / $1,908.09	Facility		$935.96	$1,304.57	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $1,014.76 / $1,447.20	Professional		$775.00	$1,014.76	$1,447.20
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 $533.42 / $782.72 / $1,451.18	Professional		$533.42	$782.72	$1,451.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $799.40 / $953.80 / $1,190.40	Professional		$799.40	$953.80	$1,190.40