Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,271.84 / $9,271.84 / $11,249.53	Facility		$9,271.84	$9,271.84	$11,249.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,736.28 / $8,529.76 / $12,803.96	Professional		$4,736.28	$8,529.76	$12,803.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,733.38 / $12,733.38 / $12,733.38	Facility		$12,733.38	$12,733.38	$12,733.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,902.87 / $17,925.00 / $22,406.25	Professional		$10,902.87	$17,925.00	$22,406.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,885.77 / $17,047.33 / $17,047.33	Professional		$1,885.77	$17,047.33	$17,047.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,695.87 / $15,762.13 / $69,378.71	Facility		$1,695.87	$15,762.13	$69,378.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,546.83 / $7,049.67 / $17,385.57	Professional		$4,546.83	$7,049.67	$17,385.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,273.44 / $1,695.87 / $3,009.94	Facility		$1,273.44	$1,695.87	$3,009.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,695.87 / $2,038.47 / $3,362.28	Professional		$1,695.87	$2,038.47	$3,362.28
United Facility/Professional Professional Modifier Low / Median / High Price $5,893.94 / $6,098.94 / $16,164.16	Professional		$5,893.94	$6,098.94	$16,164.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13,915.98 / $13,915.98 / $13,915.98	Facility		$13,915.98	$13,915.98	$13,915.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10,993.62 / $13,915.98 / $13,915.98	Professional		$10,993.62	$13,915.98	$13,915.98