Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,047.37 / $3,047.37 / $3,672.73	Facility		$3,047.37	$3,047.37	$3,672.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,129.28 / $2,796.95 / $4,208.28	Professional		$2,129.28	$2,796.95	$4,208.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,432.58 / $2,673.00 / $2,673.00	Facility		$2,432.58	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.96 / $5,073.75 / $6,342.19	Professional		$384.96	$5,073.75	$6,342.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.71 / $483.71 / $6,250.02	Professional		$483.71	$483.71	$6,250.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.54 / $4,208.28 / $7,929.46	Facility		$639.54	$4,208.28	$7,929.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,596.44 / $2,238.62 / $4,896.97	Professional		$1,596.44	$2,238.62	$4,896.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.74 / $643.74 / $1,521.57	Facility		$643.74	$643.74	$1,521.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $639.54 / $769.85 / $1,521.57	Professional		$639.54	$769.85	$1,521.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,678.96 / $2,028.71 / $4,598.12	Professional		$1,678.96	$2,028.71	$4,598.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,160.91 / $5,266.98 / $5,266.98	Professional		$4,160.91	$5,266.98	$5,266.98