Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,862.27 / $9,862.27 / $11,965.89	Facility		$9,862.27	$9,862.27	$11,965.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,037.84 / $9,072.95 / $13,619.33	Professional		$5,037.84	$9,072.95	$13,619.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,102.62 / $10,102.62 / $10,102.62	Facility		$10,102.62	$10,102.62	$10,102.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.52 / $19,068.75 / $23,835.94	Professional		$1,220.52	$19,068.75	$23,835.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.44 / $1,565.44 / $13,132.37	Professional		$1,565.44	$1,565.44	$13,132.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,141.59 / $11,041.73 / $19,113.07	Facility		$1,141.59	$11,041.73	$19,113.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,298.92 / $5,470.12 / $14,980.84	Professional		$4,298.92	$5,470.12	$14,980.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,113.34 / $2,367.17 / $4,276.18	Facility		$2,113.34	$2,367.17	$4,276.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,948.31 / $2,260.67 / $4,276.18	Professional		$1,948.31	$2,260.67	$4,276.18
United Facility/Professional Professional Modifier Low / Median / High Price $4,649.60 / $5,470.12 / $14,980.84	Professional		$4,649.60	$5,470.12	$14,980.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11,693.75 / $14,802.21 / $14,802.21	Professional		$11,693.75	$14,802.21	$14,802.21