Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.78 / $2,429.78 / $2,928.63	Facility		$2,429.78	$2,429.78	$2,928.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.95 / $2,249.19 / $3,355.42	Professional		$1,686.95	$2,249.19	$3,355.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,362.19 / $2,592.00 / $2,592.00	Facility		$2,362.19	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $2,669.76 / $4,992.18	Professional		$296.08	$2,669.76	$4,992.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $385.68 / $385.68 / $4,863.97	Professional		$385.68	$385.68	$4,863.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $344.44 / $3,158.23 / $6,322.46	Facility		$344.44	$3,158.23	$6,322.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,277.72 / $1,801.24 / $3,832.97	Professional		$1,277.72	$1,801.24	$3,832.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $530.57 / $530.57 / $1,254.08	Facility		$530.57	$530.57	$1,254.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $527.08 / $634.49 / $1,254.08	Professional		$527.08	$634.49	$1,254.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,338.80 / $1,691.90 / $3,666.52	Professional		$1,338.80	$1,691.90	$3,666.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,429.44 / $4,341.06 / $4,341.06	Professional		$3,429.44	$4,341.06	$4,341.06