Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $6,606.93	Facility		$5,495.41	$5,495.41	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $7,585.78	Professional		$3,890.45	$5,011.87	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,466.84	Facility		$3,090.30	$3,090.30	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $10,715.19 / $13,182.57	Professional		$3,090.30	$10,715.19	$13,182.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $7,585.78	Professional		$870.96	$870.96	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,165.95 / $9,332.54	Facility		$2,398.83	$6,165.95	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $8,317.64	Professional		$2,398.83	$3,019.95	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $933.25 / $4,073.80	Facility		$269.15	$933.25	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $8,317.64	Professional		$2,511.89	$3,019.95	$8,317.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $8,317.64 / $8,317.64	Professional		$6,456.54	$8,317.64	$8,317.64