Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,949.84	Facility		$1,584.89	$1,584.89	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,238.72	Professional		$1,122.02	$1,513.56	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,801.89	Professional		$2,089.30	$2,570.40	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $263.03	Professional		$251.19	$263.03	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $4,073.80 / $12,302.69	Facility		$302.00	$4,073.80	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $3,311.31	Professional		$912.01	$1,348.96	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $7,079.46	Professional		$3,019.95	$3,548.13	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $912.01 / $1,995.26	Facility		$117.49	$912.01	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $3,630.78	Professional		$1,174.90	$1,380.38	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,454.71	Professional		$1,949.84	$2,454.71	$2,454.71