Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,455.00 / $16,448.40 / $23,007.60	Facility		$8,455.00	$16,448.40	$23,007.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,851.30 / $22,851.30 / $22,851.30	Professional		$22,851.30	$22,851.30	$22,851.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,146.00 / $15,356.47 / $19,195.58	Professional		$10,146.00	$15,356.47	$19,195.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,186.75 / $11,414.25 / $15,303.55	Professional		$7,186.75	$11,414.25	$15,303.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,455.00 / $10,910.60 / $21,644.80	Facility		$8,455.00	$10,910.60	$21,644.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $2,465.92 / $23,335.80	Professional		$2,205.00	$2,465.92	$23,335.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,146.00 / $12,837.83 / $18,529.84	Facility		$10,146.00	$12,837.83	$18,529.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,146.00 / $15,462.08 / $22,067.55	Professional		$10,146.00	$15,462.08	$22,067.55
United Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $2,205.00 / $8,011.50	Professional		$2,205.00	$2,205.00	$8,011.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,455.00 / $8,455.00 / $8,455.00	Professional		$8,455.00	$8,455.00	$8,455.00