Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,503.24 / $5,503.24 / $6,677.04	Facility		$5,503.24	$5,503.24	$6,677.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,811.22 / $5,062.81 / $7,599.71	Professional		$2,811.22	$5,062.81	$7,599.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $4,435.68	Facility		$3,087.00	$3,087.00	$4,435.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,087.00 / $4,435.68 / $13,298.44	Professional		$3,087.00	$4,435.68	$13,298.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $873.53 / $873.53 / $7,659.02	Professional		$873.53	$873.53	$7,659.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,386.15 / $6,161.32 / $10,567.84	Facility		$2,386.15	$6,161.32	$10,567.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.92 / $3,052.36 / $8,359.40	Professional		$2,398.92	$3,052.36	$8,359.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,179.27 / $1,320.90 / $2,386.15	Facility		$1,179.27	$1,320.90	$2,386.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,087.18 / $1,261.47 / $2,386.15	Professional		$1,087.18	$1,261.47	$2,386.15
United Facility/Professional Professional Modifier Low / Median / High Price $2,594.52 / $3,052.36 / $8,359.40	Professional		$2,594.52	$3,052.36	$8,359.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,525.20 / $8,259.75 / $8,259.75	Professional		$6,525.20	$8,259.75	$8,259.75