Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,073.80	Facility		$3,388.44	$3,388.44	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $4,677.35	Professional		$2,344.23	$3,090.30	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $3,630.78	Facility		$2,630.27	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $5,754.40 / $7,079.46	Professional		$436.52	$5,754.40	$7,079.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $7,079.46	Professional		$537.03	$537.03	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,168.69 / $8,709.64	Facility		$691.83	$4,168.69	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $5,128.61	Professional		$1,513.56	$2,137.96	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $501.19 / $3,162.28	Facility		$229.09	$501.19	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $5,128.61	Professional		$1,862.09	$2,041.74	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $5,754.40	Professional		$4,570.88	$5,754.40	$5,754.40