Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,101.62 / $2,101.62 / $2,531.55	Facility		$2,101.62	$2,101.62	$2,531.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.78 / $1,849.71 / $2,902.23	Professional		$1,334.78	$1,849.71	$2,902.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,918.38 / $2,225.09 / $2,225.09	Facility		$1,918.38	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $2,291.84 / $4,710.93	Professional		$274.97	$2,291.84	$4,710.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $333.59 / $333.59 / $3,432.47	Professional		$333.59	$333.59	$3,432.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.08 / $4,532.95 / $16,659.23	Facility		$427.08	$4,532.95	$16,659.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.08 / $1,340.00 / $3,329.90	Professional		$1,044.08	$1,340.00	$3,329.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $430.18 / $430.18 / $1,016.78	Facility		$430.18	$430.18	$1,016.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.08 / $514.24 / $1,016.78	Professional		$427.08	$514.24	$1,016.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.16 / $1,206.21 / $3,169.40	Professional		$1,111.16	$1,206.21	$3,169.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,780.51 / $3,519.63 / $3,519.63	Professional		$2,780.51	$3,519.63	$3,519.63