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 / $9,271.84	Facility		$9,271.84	$9,271.84	$9,271.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,271.84 / $10,569.86 / $14,275.68	Professional		$9,271.84	$10,569.86	$14,275.68
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 $17,925.00 / $17,925.00 / $22,406.25	Professional		$17,925.00	$17,925.00	$22,406.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,004.31 / $17,863.06 / $69,378.71	Facility		$8,004.31	$17,863.06	$69,378.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,235.97 / $7,591.96 / $15,599.04	Professional		$5,235.97	$7,591.96	$15,599.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,273.44 / $1,695.87 / $3,250.28	Facility		$1,273.44	$1,695.87	$3,250.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,695.87 / $1,761.71 / $17,675.23	Professional		$1,695.87	$1,761.71	$17,675.23
United Facility/Professional Professional Modifier Low / Median / High Price $5,219.08 / $7,279.55 / $11,647.28	Professional		$5,219.08	$7,279.55	$11,647.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13,915.98 / $13,915.98 / $13,915.98	Professional		$13,915.98	$13,915.98	$13,915.98