Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,761.98 / $2,761.98 / $3,329.81	Facility		$2,761.98	$2,761.98	$3,329.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.57 / $2,528.76 / $3,814.17	Professional		$1,885.57	$2,528.76	$3,814.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,446.40 / $2,446.40 / $2,792.28	Facility		$2,446.40	$2,446.40	$2,792.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.08 / $2,792.28 / $5,465.63	Professional		$321.08	$2,792.28	$5,465.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $438.41 / $438.41 / $6,157.75	Professional		$438.41	$438.41	$6,157.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $610.45 / $4,847.72 / $7,186.86	Facility		$610.45	$4,847.72	$7,186.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,435.76 / $2,080.07 / $4,268.83	Professional		$1,435.76	$2,080.07	$4,268.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $614.34 / $614.34 / $1,452.07	Facility		$614.34	$614.34	$1,452.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $610.45 / $734.78 / $1,452.07	Professional		$610.45	$734.78	$1,452.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.20 / $1,823.52 / $4,168.80	Professional		$1,522.20	$1,823.52	$4,168.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,970.86 / $5,026.41 / $5,026.41	Professional		$3,970.86	$5,026.41	$5,026.41