Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,897.01 / $6,123.10 / $6,123.10	Facility		$5,897.01	$6,123.10	$6,123.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,562.92 / $3,670.43 / $5,616.43	Professional		$2,562.92	$3,670.43	$5,616.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $7,915.64	Facility		$4,728.96	$4,728.96	$7,915.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,728.96 / $8,475.00 / $10,593.75	Professional		$4,728.96	$8,475.00	$10,593.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,213.77 / $8,414.35 / $11,602.47	Professional		$6,213.77	$8,414.35	$11,602.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,589.03 / $9,283.90 / $34,402.54	Facility		$4,589.03	$9,283.90	$34,402.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,440.17 / $4,377.80 / $9,831.87	Professional		$3,440.17	$4,377.80	$9,831.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,892.48 / $7,915.64 / $9,486.95	Facility		$7,892.48	$7,915.64	$9,486.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,909.12 / $9,246.56 / $15,126.62	Professional		$6,909.12	$9,246.56	$15,126.62
United Facility/Professional Facility Modifier Low / Median / High Price $9,777.96 / $9,777.96 / $15,889.20	Facility		$9,777.96	$9,777.96	$15,889.20
United Facility/Professional Professional Modifier Low / Median / High Price $3,440.17 / $3,626.86 / $8,467.00	Professional		$3,440.17	$3,626.86	$8,467.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7,052.12 / $7,052.12 / $7,052.12	Facility		$7,052.12	$7,052.12	$7,052.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,571.17 / $7,052.12 / $7,052.12	Professional		$5,571.17	$7,052.12	$7,052.12