Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,906.94 / $5,906.94 / $7,112.00	Facility		$5,906.94	$5,906.94	$7,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,224.40 / $5,419.58 / $8,157.21	Professional		$3,224.40	$5,419.58	$8,157.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $9,761.27	Facility		$5,900.00	$5,900.00	$9,761.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $11,268.75 / $15,759.60	Professional		$5,900.00	$11,268.75	$15,759.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $937.61 / $937.61 / $13,465.05	Professional		$937.61	$937.61	$13,465.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,294.73 / $12,121.43 / $53,184.97	Facility		$1,294.73	$12,121.43	$53,184.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,389.46 / $5,633.53 / $13,355.93	Professional		$4,389.46	$5,633.53	$13,355.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,113.55 / $1,113.55 / $2,632.03	Facility		$1,113.55	$1,113.55	$2,632.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,105.13 / $1,330.87 / $2,632.03	Professional		$1,105.13	$1,330.87	$2,632.03
United Facility/Professional Professional Modifier Low / Median / High Price $4,876.80 / $5,283.20 / $13,355.93	Professional		$4,876.80	$5,283.20	$13,355.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,197.60 / $9,110.87 / $9,110.87	Professional		$7,197.60	$9,110.87	$9,110.87