Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,413.10	Facility		$6,165.95	$6,165.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,623.41 / $8,511.38	Professional		$4,365.16	$5,623.41	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,011.87 / $5,011.87	Facility		$4,466.84	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $12,022.64 / $15,135.61	Professional		$4,466.84	$12,022.64	$15,135.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $8,511.38	Professional		$977.24	$977.24	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $6,918.31 / $15,135.61	Facility		$501.19	$6,918.31	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $9,332.54	Professional		$2,884.03	$3,715.35	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,949.84 / $5,248.07	Facility		$389.05	$1,949.84	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $9,332.54	Professional		$2,884.03	$3,388.44	$9,332.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $9,332.54 / $9,332.54	Professional		$7,244.36	$9,332.54	$9,332.54