Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $9,185.68	Facility		$4,146.00	$5,091.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.63 / $715.21 / $1,091.83	Professional		$458.63	$715.21	$1,091.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $222.95 / $1,001.13 / $1,001.13	Professional	50	$222.95	$1,001.13	$1,001.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.49 / $1,215.41 / $1,789.01	Professional		$533.49	$1,215.41	$1,789.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $410.66 / $738.22 / $1,532.04	Professional		$410.66	$738.22	$1,532.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $826.12 / $1,409.08 / $6,306.00	Facility		$826.12	$1,409.08	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $701.24 / $1,186.09 / $4,005.00	Professional		$701.24	$1,186.09	$4,005.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $989.08 / $1,406.72 / $1,928.20	Facility		$989.08	$1,406.72	$1,928.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $916.17 / $1,197.57 / $1,670.58	Professional		$916.17	$1,197.57	$1,670.58
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 $642.80 / $876.56 / $1,714.76	Professional		$642.80	$876.56	$1,714.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $856.80 / $1,008.00 / $1,366.20	Professional		$856.80	$1,008.00	$1,366.20