Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,959.54 / $12,959.54 / $15,723.84	Facility		$12,959.54	$12,959.54	$15,723.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,620.02 / $11,922.31 / $17,896.50	Professional		$6,620.02	$11,922.31	$17,896.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,568.60 / $13,275.38 / $13,275.38	Facility		$7,568.60	$13,275.38	$13,275.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.83 / $25,053.75 / $31,317.19	Professional		$1,603.83	$25,053.75	$31,317.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,057.07 / $2,057.07 / $17,842.91	Professional		$2,057.07	$2,057.07	$17,842.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,575.75 / $14,509.39 / $25,115.55	Facility		$1,575.75	$14,509.39	$25,115.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,649.08 / $7,188.04 / $19,685.65	Professional		$5,649.08	$7,188.04	$19,685.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,777.04 / $3,110.57 / $5,619.12	Facility		$2,777.04	$3,110.57	$5,619.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,560.19 / $2,970.66 / $5,619.12	Professional		$2,560.19	$2,970.66	$5,619.12
United Facility/Professional Professional Modifier Low / Median / High Price $5,982.40 / $7,188.04 / $19,685.65	Professional		$5,982.40	$7,188.04	$19,685.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15,366.13 / $19,450.80 / $19,450.80	Professional		$15,366.13	$19,450.80	$19,450.80