Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,291.93 / $4,291.93 / $4,848.03	Facility		$4,291.93	$4,291.93	$4,848.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,251.00 / $3,912.49 / $5,926.96	Professional		$2,251.00	$3,912.49	$5,926.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.89 / $8,298.75 / $10,373.44	Professional		$616.89	$8,298.75	$10,373.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $681.26 / $681.26 / $8,761.03	Professional		$681.26	$681.26	$8,761.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $785.03 / $7,296.30 / $33,203.46	Facility		$785.03	$7,296.30	$33,203.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,091.96 / $2,592.29 / $6,943.18	Professional		$2,091.96	$2,592.29	$6,943.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $787.33 / $787.33 / $1,860.95	Facility		$787.33	$787.33	$1,860.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $785.03 / $943.61 / $1,860.95	Professional		$785.03	$943.61	$1,860.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,266.29 / $2,459.87 / $6,519.45	Professional		$2,266.29	$2,459.87	$6,519.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,088.97 / $6,441.75 / $6,441.75	Professional		$5,088.97	$6,441.75	$6,441.75