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 $457.09 / $724.44 / $2,137.96	Professional		$457.09	$724.44	$2,137.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $3,981.07 / $4,168.69	Professional	50	$954.99	$3,981.07	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,202.26 / $1,905.46	Professional		$537.03	$1,202.26	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,513.56	Professional		$407.38	$676.08	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $6,606.93	Facility		$794.33	$1,584.89	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $4,168.69	Professional		$724.44	$1,230.27	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,737.80	Professional		$1,000.00	$1,318.26	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
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 / $812.83 / $1,513.56	Professional		$524.81	$812.83	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,412.54	Professional		$851.14	$1,000.00	$1,412.54