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 $1,698.24 / $2,238.72 / $3,388.44	Professional		$1,698.24	$2,238.72	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $2,570.40	Facility		$2,344.23	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $3,981.07 / $5,011.87	Professional		$295.12	$3,981.07	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $4,897.79	Professional		$389.05	$389.05	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,162.28 / $6,309.57	Facility		$346.74	$3,162.28	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,630.78	Professional		$1,174.90	$1,659.59	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $354.81 / $2,344.23	Facility		$173.78	$354.81	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $3,630.78	Professional		$1,348.96	$1,479.11	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $4,365.16	Professional		$3,467.37	$4,365.16	$4,365.16