Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $8,128.31	Facility		$6,606.93	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,165.95 / $9,120.11	Professional		$4,677.35	$6,165.95	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,370.32	Facility		$3,715.35	$3,715.35	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $10,964.78 / $16,218.10	Professional		$3,715.35	$10,964.78	$16,218.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $9,549.93	Professional		$1,047.13	$1,047.13	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $7,413.10 / $17,378.01	Facility		$537.03	$7,413.10	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $10,000.00	Professional		$2,884.03	$3,715.35	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,122.02 / $4,897.79	Facility		$323.59	$1,122.02	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $10,000.00	Professional		$3,090.30	$3,715.35	$10,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,000.00 / $10,000.00	Professional		$7,943.28	$10,000.00	$10,000.00