Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.98 / $1,894.98 / $2,299.17	Facility		$1,894.98	$1,894.98	$2,299.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,579.08 / $2,616.88	Professional		$967.98	$1,579.08	$2,616.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $3,476.21	Facility		$1,786.79	$1,786.79	$3,476.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,786.79 / $2,691.04 / $4,579.68	Professional		$1,786.79	$2,691.04	$4,579.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.19 / $280.04 / $310.81	Professional		$264.19	$280.04	$310.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.38 / $3,672.48 / $14,043.28	Facility		$399.38	$3,672.48	$14,043.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,135.77 / $1,576.58 / $4,108.25	Professional		$1,135.77	$1,576.58	$4,108.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.89 / $341.89 / $808.11	Facility		$341.89	$341.89	$808.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $409.77 / $808.11	Professional		$340.89	$409.77	$808.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.12 / $1,576.58 / $4,317.72	Professional		$1,312.12	$1,576.58	$4,317.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,246.89 / $2,844.17 / $2,844.17	Professional		$2,246.89	$2,844.17	$2,844.17