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 $518.47 / $892.20 / $1,297.69	Professional		$518.47	$892.20	$1,297.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,373.00 / $2,373.00 / $2,373.00	Professional	50	$2,373.00	$2,373.00	$2,373.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.29 / $1,395.69 / $1,986.44	Professional		$568.29	$1,395.69	$1,986.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $485.75 / $877.58 / $1,573.05	Professional		$485.75	$877.58	$1,573.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.57 / $1,614.54 / $6,306.00	Facility		$914.57	$1,614.54	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,415.55 / $4,805.00	Professional		$801.19	$1,415.55	$4,805.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $1,614.54 / $2,054.87	Facility		$1,154.00	$1,614.54	$2,054.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $990.05 / $1,395.69 / $1,986.44	Professional		$990.05	$1,395.69	$1,986.44
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 $766.36 / $1,114.70 / $2,076.73	Professional		$766.36	$1,114.70	$2,076.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,013.80 / $1,192.70 / $1,629.50	Professional		$1,013.80	$1,192.70	$1,629.50