Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,880.73 / $7,880.73 / $9,561.65	Facility		$7,880.73	$7,880.73	$9,561.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,025.62 / $7,249.98 / $10,882.92	Professional		$4,025.62	$7,249.98	$10,882.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,351.96 / $8,072.81 / $8,072.81	Facility		$6,351.96	$8,072.81	$8,072.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.29 / $15,236.25 / $19,045.31	Professional		$975.29	$15,236.25	$19,045.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.91 / $1,250.91 / $11,035.43	Professional		$1,250.91	$1,250.91	$11,035.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,688.73 / $8,823.10 / $15,272.82	Facility		$1,688.73	$8,823.10	$15,272.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,435.20 / $4,371.04 / $11,970.83	Professional		$3,435.20	$4,371.04	$11,970.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,688.73 / $1,891.55 / $3,417.00	Facility		$1,688.73	$1,891.55	$3,417.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,556.85 / $1,806.44 / $3,417.00	Professional		$1,556.85	$1,806.44	$3,417.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.40 / $4,371.04 / $11,970.83	Professional		$3,715.40	$4,371.04	$11,970.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,344.18 / $11,828.07 / $11,828.07	Professional		$9,344.18	$11,828.07	$11,828.07