Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,722.23 / $2,722.23 / $2,973.95	Facility		$2,722.23	$2,722.23	$2,973.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.61 / $2,438.32 / $3,759.27	Professional		$1,390.61	$2,438.32	$3,759.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $3,738.44	Facility		$2,225.05	$2,225.05	$3,738.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $3,738.44 / $6,576.56	Professional		$343.68	$3,738.44	$6,576.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $432.10 / $432.10 / $5,005.07	Professional		$432.10	$432.10	$5,005.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $465.32 / $4,627.79 / $20,369.16	Facility		$465.32	$4,627.79	$20,369.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,285.52 / $1,560.25 / $4,310.51	Professional		$1,285.52	$1,560.25	$4,310.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $499.37 / $499.37 / $1,180.32	Facility		$499.37	$499.37	$1,180.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $497.91 / $598.50 / $1,180.32	Professional		$497.91	$598.50	$1,180.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.05 / $1,560.25 / $4,135.16	Professional		$1,433.05	$1,560.25	$4,135.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,227.73 / $4,085.73 / $4,085.73	Professional		$3,227.73	$4,085.73	$4,085.73