Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26,933.26 / $26,933.26 / $32,882.44	Facility		$26,933.26	$26,933.26	$32,882.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19,107.96 / $24,634.73 / $34,481.14	Professional		$19,107.96	$24,634.73	$34,481.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42,492.59 / $42,492.59 / $42,492.59	Facility		$42,492.59	$42,492.59	$42,492.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42,492.59 / $44,937.75 / $56,172.19	Professional		$42,492.59	$44,937.75	$56,172.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27,956.55 / $30,754.94 / $38,762.62	Professional		$27,956.55	$30,754.94	$38,762.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $27,706.21 / $50,218.52 / $182,487.33	Facility		$27,706.21	$50,218.52	$182,487.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $19,874.21 / $21,530.40 / $52,659.26	Professional		$19,874.21	$21,530.40	$52,659.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42,492.59 / $42,492.59 / $50,927.72	Facility		$42,492.59	$42,492.59	$50,927.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42,368.25 / $50,218.52 / $81,122.22	Professional		$42,368.25	$50,218.52	$81,122.22
United Facility/Professional Professional Modifier Low / Median / High Price $19,874.21 / $20,295.25 / $37,098.53	Professional		$19,874.21	$20,295.25	$37,098.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $37,857.04 / $37,857.04 / $37,857.04	Facility		$37,857.04	$37,857.04	$37,857.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29,907.06 / $37,857.04 / $37,857.04	Professional		$29,907.06	$37,857.04	$37,857.04