Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,622.94 / $7,622.94 / $9,248.93	Facility		$7,622.94	$7,622.94	$9,248.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,893.95 / $7,012.85 / $10,526.91	Professional		$3,893.95	$7,012.85	$10,526.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,300.15 / $5,300.15 / $6,144.24	Facility		$5,300.15	$5,300.15	$6,144.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,300.15 / $6,144.24 / $18,421.88	Professional		$5,300.15	$6,144.24	$18,421.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.99 / $1,209.99 / $10,669.12	Professional		$1,209.99	$1,209.99	$10,669.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,633.49 / $8,534.45 / $14,773.26	Facility		$1,633.49	$8,534.45	$14,773.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,322.84 / $4,228.08 / $11,579.30	Professional		$3,322.84	$4,228.08	$11,579.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,633.49 / $1,829.68 / $3,305.22	Facility		$1,633.49	$1,829.68	$3,305.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,505.93 / $1,747.37 / $3,305.22	Professional		$1,505.93	$1,747.37	$3,305.22
United Facility/Professional Professional Modifier Low / Median / High Price $3,593.88 / $4,228.08 / $11,579.30	Professional		$3,593.88	$4,228.08	$11,579.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,038.52 / $11,441.16 / $11,441.16	Professional		$9,038.52	$11,441.16	$11,441.16