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 $422.12 / $727.35 / $2,671.83	Professional		$422.12	$727.35	$2,671.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,007.74 / $4,007.74 / $4,007.74	Professional	50	$4,007.74	$4,007.74	$4,007.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.94 / $1,047.10 / $1,739.03	Professional		$496.94	$1,047.10	$1,739.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.25 / $744.36 / $1,469.86	Professional		$411.25	$744.36	$1,469.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $799.12 / $1,471.01 / $6,306.00	Facility		$799.12	$1,471.01	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $718.04 / $1,197.57 / $4,165.00	Professional		$718.04	$1,197.57	$4,165.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $990.54 / $1,471.01 / $2,007.46	Facility		$990.54	$1,471.01	$2,007.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $887.62 / $1,210.76 / $1,739.03	Professional		$887.62	$1,210.76	$1,739.03
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 $670.73 / $975.60 / $1,984.92	Professional		$670.73	$975.60	$1,984.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $1,009.50 / $1,421.10	Professional		$858.00	$1,009.50	$1,421.10