Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,366.46 / $2,366.46 / $2,851.89	Facility		$2,366.46	$2,366.46	$2,851.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.85 / $2,099.67 / $3,267.98	Professional		$1,605.85	$2,099.67	$3,267.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.42 / $2,416.31 / $2,416.31	Facility		$2,253.42	$2,416.31	$2,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.01 / $3,982.50 / $4,978.13	Professional		$288.01	$3,982.50	$4,978.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.63 / $375.63 / $4,324.83	Professional		$375.63	$375.63	$4,324.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.59 / $3,267.98 / $6,157.70	Facility		$343.59	$3,267.98	$6,157.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,215.04 / $1,709.59 / $3,609.55	Professional		$1,215.04	$1,709.59	$3,609.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $503.83 / $503.83 / $1,190.88	Facility		$503.83	$503.83	$1,190.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.46 / $602.48 / $1,190.88	Professional		$500.46	$602.48	$1,190.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.72 / $1,347.18 / $3,570.46	Professional		$1,303.72	$1,347.18	$3,570.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,256.59 / $4,122.27 / $4,122.27	Professional		$3,256.59	$4,122.27	$4,122.27