Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,652.80 / $4,652.80 / $5,601.05	Facility		$4,652.80	$4,652.80	$5,601.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,381.32 / $4,268.63 / $6,425.30	Professional		$2,381.32	$4,268.63	$6,425.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $4,775.22 / $7,531.79	Facility		$4,775.22	$4,775.22	$7,531.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.53 / $9,011.25 / $11,264.06	Professional		$671.53	$9,011.25	$11,264.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $738.54 / $738.54 / $9,944.36	Professional		$738.54	$738.54	$9,944.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $997.66 / $9,034.24 / $41,037.44	Facility		$997.66	$9,034.24	$41,037.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,241.76 / $4,160.78 / $10,518.45	Professional		$3,241.76	$4,160.78	$10,518.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $855.14 / $855.14 / $2,021.24	Facility		$855.14	$855.14	$2,021.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.56 / $1,024.89 / $2,021.24	Professional		$851.56	$1,024.89	$2,021.24
United Facility/Professional Professional Modifier Low / Median / High Price $3,745.12 / $3,840.72 / $10,106.20	Professional		$3,745.12	$3,840.72	$10,106.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,527.31 / $6,996.60 / $6,996.60	Professional		$5,527.31	$6,996.60	$6,996.60