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 $174.17 / $318.33 / $1,121.89	Professional		$174.17	$318.33	$1,121.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,018.74 / $1,018.74 / $1,018.74	Professional	50	$1,018.74	$1,018.74	$1,018.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $523.94 / $950.50	Professional		$237.47	$523.94	$950.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.78 / $322.43 / $564.33	Professional		$164.78	$322.43	$564.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $732.67 / $6,306.00	Facility		$395.91	$732.67	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.85 / $580.79 / $1,363.60	Professional		$353.85	$580.79	$1,363.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $426.59 / $770.30 / $1,908.09	Facility		$426.59	$770.30	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.91 / $560.16 / $892.33	Professional		$395.91	$560.16	$892.33
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 $330.19 / $489.23 / $917.31	Professional		$330.19	$489.23	$917.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $403.50 / $720.20	Professional		$343.00	$403.50	$720.20