Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.67 / $541.71 / $835.23	Professional		$288.67	$541.71	$835.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.79 / $773.54 / $1,282.66	Professional		$360.79	$773.54	$1,282.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.47 / $509.46 / $828.89	Professional		$281.47	$509.46	$828.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $585.64 / $1,064.22 / $6,306.00	Facility		$585.64	$1,064.22	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.26 / $894.40 / $2,331.44	Professional		$496.26	$894.40	$2,331.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $1,072.47 / $1,908.09	Facility		$621.00	$1,072.47	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $585.64 / $849.00 / $1,282.66	Professional		$585.64	$849.00	$1,282.66
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 $471.17 / $711.86 / $1,334.73	Professional		$471.17	$711.86	$1,334.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.79 / $692.70 / $1,041.30	Professional		$588.79	$692.70	$1,041.30