Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,383.98 / $6,383.98 / $7,745.68	Facility		$6,383.98	$6,383.98	$7,745.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,261.02 / $5,873.05 / $8,815.96	Professional		$3,261.02	$5,873.05	$8,815.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,145.60 / $6,539.60 / $6,539.60	Facility		$5,145.60	$6,539.60	$6,539.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.06 / $12,341.25 / $15,426.56	Professional		$790.06	$12,341.25	$15,426.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.33 / $1,013.33 / $9,078.66	Professional		$1,013.33	$1,013.33	$9,078.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $7,147.29 / $12,372.19	Facility		$1,368.00	$7,147.29	$12,372.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,782.72 / $3,540.88 / $9,697.29	Professional		$2,782.72	$3,540.88	$9,697.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $1,532.31 / $2,768.04	Facility		$1,368.00	$1,532.31	$2,768.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,261.16 / $1,463.36 / $2,768.04	Professional		$1,261.16	$1,463.36	$2,768.04
United Facility/Professional Professional Modifier Low / Median / High Price $3,009.76 / $3,540.88 / $9,697.29	Professional		$3,009.76	$3,540.88	$9,697.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,569.52 / $9,581.67 / $9,581.67	Professional		$7,569.52	$9,581.67	$9,581.67