Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,868.76 / $6,868.76 / $8,270.41	Facility		$6,868.76	$6,868.76	$8,270.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,822.38 / $6,099.72 / $9,485.44	Professional		$3,822.38	$6,099.72	$9,485.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,451.66 / $7,860.06 / $7,860.06	Facility		$5,451.66	$7,860.06	$7,860.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.99 / $13,008.75 / $16,260.94	Professional		$935.99	$13,008.75	$16,260.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.28 / $1,090.28 / $10,512.31	Professional		$1,090.28	$1,090.28	$10,512.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.21 / $7,906.00 / $14,369.20	Facility		$1,122.21	$7,906.00	$14,369.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,167.19 / $3,981.65 / $10,557.30	Professional		$3,167.19	$3,981.65	$10,557.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,339.97 / $1,339.97 / $3,167.19	Facility		$1,339.97	$1,339.97	$3,167.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,329.73 / $1,601.40 / $3,167.19	Professional		$1,329.73	$1,601.40	$3,167.19
United Facility/Professional Professional Modifier Low / Median / High Price $3,454.16 / $3,981.65 / $10,557.30	Professional		$3,454.16	$3,981.65	$10,557.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,661.04 / $10,963.35 / $10,963.35	Professional		$8,661.04	$10,963.35	$10,963.35