Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,724.05 / $5,724.05 / $6,944.96	Facility		$5,724.05	$5,724.05	$6,944.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,923.87 / $5,265.92 / $7,904.65	Professional		$2,923.87	$5,265.92	$7,904.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $4,613.63	Facility		$3,969.00	$3,969.00	$4,613.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,311.36 / $11,066.25 / $13,832.81	Professional		$7,311.36	$11,066.25	$13,832.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $908.58 / $908.58 / $8,140.09	Professional		$908.58	$908.58	$8,140.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,481.88 / $6,408.42 / $10,991.63	Facility		$2,481.88	$6,408.42	$10,991.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,495.04 / $3,174.84 / $8,694.83	Professional		$2,495.04	$3,174.84	$8,694.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,226.58 / $1,373.89 / $2,481.88	Facility		$1,226.58	$1,373.89	$2,481.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,130.80 / $1,312.10 / $2,481.88	Professional		$1,130.80	$1,312.10	$2,481.88
United Facility/Professional Facility Modifier Low / Median / High Price $321.00 / $607.69 / $4,011.84	Facility		$321.00	$607.69	$4,011.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,642.25 / $3,174.84 / $8,694.83	Professional		$2,642.25	$3,174.84	$8,694.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,786.99 / $8,591.12 / $8,591.12	Professional		$6,786.99	$8,591.12	$8,591.12