Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,951.21	Facility		$2,454.71	$2,454.71	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,388.44	Professional		$1,737.80	$2,344.23	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,981.07 / $5,888.44	Professional		$2,691.53	$3,981.07	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $407.38	Professional		$389.05	$407.38	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $6,309.57 / $19,054.61	Facility		$467.74	$6,309.57	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $5,128.61	Professional		$1,412.54	$2,089.30	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $10,964.78	Professional		$4,677.35	$5,495.41	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,412.54 / $3,090.30	Facility		$181.97	$1,412.54	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $5,623.41	Professional		$1,819.70	$2,137.96	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $3,801.89	Professional		$3,019.95	$3,801.89	$3,801.89