Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,153.84 / $6,153.84 / $7,466.38	Facility		$6,153.84	$6,153.84	$7,466.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,143.52 / $5,661.31 / $8,498.16	Professional		$3,143.52	$5,661.31	$8,498.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,488.00 / $4,978.93 / $4,978.93	Facility		$4,488.00	$4,978.93	$4,978.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,898.75 / $12,017.74 / $14,895.20	Professional		$11,898.75	$12,017.74	$14,895.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $976.80 / $976.80 / $8,580.18	Professional		$976.80	$976.80	$8,580.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.68 / $6,889.88 / $15,222.20	Facility		$1,318.68	$6,889.88	$15,222.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,901.24 / $4,065.16 / $9,347.62	Professional		$2,901.24	$4,065.16	$9,347.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,318.68 / $1,477.05 / $2,668.25	Facility		$1,318.68	$1,477.05	$2,668.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,215.70 / $1,410.62 / $2,668.25	Professional		$1,215.70	$1,410.62	$2,668.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,901.24 / $3,455.40 / $9,347.62	Professional		$2,901.24	$3,455.40	$9,347.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,296.64 / $9,236.25 / $9,236.25	Professional		$7,296.64	$9,236.25	$9,236.25