Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,890.37 / $10,890.37 / $13,213.29	Facility		$10,890.37	$10,890.37	$13,213.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,563.01 / $10,018.76 / $15,039.08	Professional		$5,563.01	$10,018.76	$15,039.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,645.60 / $11,155.72 / $11,155.72	Facility		$6,645.60	$11,155.72	$11,155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,645.60 / $18,474.68 / $26,320.31	Professional		$6,645.60	$18,474.68	$26,320.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.63 / $1,728.63 / $14,994.41	Professional		$1,728.63	$1,728.63	$14,994.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,260.63 / $12,192.66 / $21,105.48	Facility		$1,260.63	$12,192.66	$21,105.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,747.08 / $6,040.36 / $16,542.54	Professional		$4,747.08	$6,040.36	$16,542.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,333.65 / $2,613.92 / $4,721.96	Facility		$2,333.65	$2,613.92	$4,721.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,151.42 / $2,496.36 / $4,721.96	Professional		$2,151.42	$2,496.36	$4,721.96
United Facility/Professional Professional Modifier Low / Median / High Price $5,134.32 / $6,040.36 / $16,542.54	Professional		$5,134.32	$6,040.36	$16,542.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12,912.76 / $16,345.26 / $16,345.26	Professional		$12,912.76	$16,345.26	$16,345.26