Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,671.57 / $7,671.57 / $9,307.90	Facility		$7,671.57	$7,671.57	$9,307.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,918.82 / $7,057.58 / $10,594.08	Professional		$3,918.82	$7,057.58	$10,594.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $6,183.41	Facility		$5,109.46	$5,109.46	$6,183.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,109.46 / $14,831.25 / $18,539.06	Professional		$5,109.46	$14,831.25	$18,539.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.71 / $1,217.71 / $10,738.13	Professional		$1,217.71	$1,217.71	$10,738.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,643.91 / $8,589.12 / $14,867.50	Facility		$1,643.91	$8,589.12	$14,867.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,344.04 / $4,255.04 / $11,653.13	Professional		$3,344.04	$4,255.04	$11,653.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,643.91 / $1,841.35 / $3,326.31	Facility		$1,643.91	$1,841.35	$3,326.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,515.53 / $1,758.52 / $3,326.31	Professional		$1,515.53	$1,758.52	$3,326.31
United Facility/Professional Professional Modifier Low / Median / High Price $3,616.80 / $4,255.04 / $11,653.13	Professional		$3,616.80	$4,255.04	$11,653.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,096.18 / $11,514.15 / $11,514.15	Professional		$9,096.18	$11,514.15	$11,514.15