Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,011.15 / $4,011.15 / $4,833.76	Facility		$4,011.15	$4,011.15	$4,833.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,802.55 / $3,681.34 / $5,539.20	Professional		$2,802.55	$3,681.34	$5,539.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,165.54 / $4,303.28 / $4,303.28	Facility		$3,165.54	$4,303.28	$4,303.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $6,776.25 / $8,470.31	Professional		$512.91	$6,776.25	$8,470.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.69 / $636.69 / $7,837.86	Professional		$636.69	$636.69	$7,837.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.49 / $5,539.20 / $10,437.25	Facility		$832.49	$5,539.20	$10,437.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,045.84 / $2,888.24 / $6,445.02	Professional		$2,045.84	$2,888.24	$6,445.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $838.05 / $838.05 / $1,980.84	Facility		$838.05	$838.05	$1,980.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $832.49 / $1,002.16 / $1,980.84	Professional		$832.49	$1,002.16	$1,980.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,209.71 / $2,485.48 / $6,051.69	Professional		$2,209.71	$2,485.48	$6,051.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,416.82 / $6,856.74 / $6,856.74	Professional		$5,416.82	$6,856.74	$6,856.74