Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.78 / $1,791.78 / $2,173.94	Facility		$1,791.78	$1,791.78	$2,173.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.18 / $1,648.40 / $2,474.37	Professional		$915.18	$1,648.40	$2,474.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,219.64 / $2,460.79	Facility		$1,219.64	$1,219.64	$2,460.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.64 / $3,465.00 / $4,448.13	Professional		$1,219.64	$3,465.00	$4,448.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $284.41 / $284.41 / $3,294.01	Professional		$284.41	$284.41	$3,294.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.68 / $3,227.66 / $13,407.77	Facility		$328.68	$3,227.66	$13,407.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,073.80 / $1,378.15 / $3,264.95	Professional		$1,073.80	$1,378.15	$3,264.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.68 / $328.68 / $776.88	Facility		$328.68	$328.68	$776.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $327.72 / $393.93 / $776.88	Professional		$327.72	$393.93	$776.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.26 / $1,362.45 / $3,123.97	Professional		$1,095.26	$1,362.45	$3,123.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,124.46 / $2,689.20 / $2,689.20	Professional		$2,124.46	$2,689.20	$2,689.20