Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,686.82 / $2,686.82 / $3,237.94	Facility		$2,686.82	$2,686.82	$3,237.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,800.38 / $2,390.40 / $3,710.38	Professional		$1,800.38	$2,390.40	$3,710.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.80 / $2,671.66 / $2,671.66	Facility		$2,434.80	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $4,515.00 / $5,643.75	Professional		$318.45	$4,515.00	$5,643.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.48 / $426.48 / $5,312.99	Professional		$426.48	$426.48	$5,312.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.48 / $3,658.05 / $6,991.29	Facility		$389.48	$3,658.05	$6,991.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,361.32 / $1,953.12 / $4,053.77	Professional		$1,361.32	$1,953.12	$4,053.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $566.74 / $566.74 / $1,339.57	Facility		$566.74	$566.74	$1,339.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.98 / $677.73 / $1,339.57	Professional		$562.98	$677.73	$1,339.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,474.77 / $1,758.25 / $4,053.77	Professional		$1,474.77	$1,758.25	$4,053.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,663.21 / $4,636.97 / $4,636.97	Professional		$3,663.21	$4,636.97	$4,636.97