Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,160.58 / $3,160.58 / $3,809.14	Facility		$3,160.58	$3,160.58	$3,809.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,208.42 / $2,900.84 / $4,364.62	Professional		$2,208.42	$2,900.84	$4,364.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,522.88 / $3,349.85 / $3,349.85	Facility		$2,522.88	$3,349.85	$3,349.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $5,261.25 / $6,576.56	Professional		$399.28	$5,261.25	$6,576.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.68 / $501.68 / $6,352.61	Professional		$501.68	$501.68	$6,352.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.27 / $4,364.62 / $8,224.04	Facility		$663.27	$4,364.62	$8,224.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,655.60 / $2,321.76 / $5,078.85	Professional		$1,655.60	$2,321.76	$5,078.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $667.63 / $667.63 / $1,578.04	Facility		$667.63	$667.63	$1,578.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $663.27 / $798.42 / $1,578.04	Professional		$663.27	$798.42	$1,578.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,741.32 / $2,207.52 / $4,768.89	Professional		$1,741.32	$2,207.52	$4,768.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,315.34 / $5,462.46 / $5,462.46	Professional		$4,315.34	$5,462.46	$5,462.46