Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.95 / $1,883.95 / $2,267.91	Facility		$1,883.95	$1,883.95	$2,267.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.63 / $1,728.41 / $2,601.65	Professional		$963.63	$1,728.41	$2,601.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.09 / $1,850.09 / $3,047.80	Facility		$1,850.09	$1,850.09	$3,047.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.09 / $3,648.75 / $4,560.93	Professional		$1,850.09	$3,648.75	$4,560.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.04 / $299.04 / $5,269.35	Professional		$299.04	$299.04	$5,269.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.88 / $3,622.46 / $16,606.15	Facility		$403.88	$3,622.46	$16,606.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,540.68 / $2,073.52 / $4,259.01	Professional		$1,540.68	$2,073.52	$4,259.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $346.04 / $346.04 / $817.91	Facility		$346.04	$346.04	$817.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $344.74 / $414.73 / $817.91	Professional		$344.74	$414.73	$817.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.14 / $1,555.14 / $4,166.85	Professional		$1,555.14	$1,555.14	$4,166.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,236.66 / $2,831.22 / $2,831.22	Professional		$2,236.66	$2,831.22	$2,831.22