Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,630.78	Facility		$3,019.95	$3,019.95	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,168.69	Professional		$2,137.96	$2,818.38	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $2,691.53	Facility		$2,454.71	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $5,128.61 / $6,309.57	Professional		$389.05	$5,128.61	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $6,309.57	Professional		$478.63	$478.63	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,890.45 / $7,943.28	Facility		$645.65	$3,890.45	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $4,570.88	Professional		$1,445.44	$2,041.74	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $446.68 / $2,884.03	Facility		$213.80	$446.68	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $4,570.88	Professional		$1,698.24	$1,905.46	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $5,248.07	Professional		$4,168.69	$5,248.07	$5,248.07