Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,570.88 / $7,079.46	Facility		$794.33	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,548.82	Professional		$467.74	$691.83	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $616.60 / $776.25	Professional	50	$223.87	$616.60	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,122.02 / $1,819.70	Professional		$537.03	$1,122.02	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,584.89	Professional		$407.38	$676.08	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,548.82 / $6,606.93	Facility		$831.76	$1,548.82	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $3,981.07	Professional		$707.95	$1,202.26	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,659.59	Professional		$1,000.00	$1,288.25	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
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 $524.81 / $794.33 / $1,479.11	Professional		$524.81	$794.33	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,380.38	Professional		$851.14	$1,000.00	$1,380.38