Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.82 / $701.93 / $1,022.37	Professional		$448.82	$701.93	$1,022.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.44 / $1,058.02 / $1,680.91	Professional		$512.44	$1,058.02	$1,680.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $415.55 / $697.79 / $1,529.97	Professional		$415.55	$697.79	$1,529.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.00 / $1,379.14 / $6,306.00	Facility		$946.00	$1,379.14	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $658.82 / $1,128.11 / $1,902.44	Professional		$658.82	$1,128.11	$1,902.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,359.36 / $1,908.09	Facility		$953.00	$1,359.36	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $897.86 / $1,140.99 / $1,563.69	Professional		$897.86	$1,140.99	$1,563.69
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 $603.91 / $878.43 / $1,647.06	Professional		$603.91	$878.43	$1,647.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $864.10 / $1,020.60 / $1,286.80	Professional		$864.10	$1,020.60	$1,286.80