Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,300.62 / $24,273.73 / $24,273.73	Facility		$21,300.62	$24,273.73	$24,273.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,137.77 / $15,571.41 / $24,493.04	Professional		$12,137.77	$15,571.41	$24,493.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $31,714.32	Facility		$16,200.25	$16,200.25	$31,714.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,200.25 / $33,597.00 / $41,996.25	Professional		$16,200.25	$33,597.00	$41,996.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27,531.17 / $28,980.18 / $34,300.24	Professional		$27,531.17	$28,980.18	$34,300.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $18,386.13 / $37,480.56 / $134,932.92	Facility		$18,386.13	$37,480.56	$134,932.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $13,783.15 / $18,068.11 / $39,391.79	Professional		$13,783.15	$18,068.11	$39,391.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31,621.54 / $31,714.32 / $39,385.93	Facility		$31,621.54	$31,714.32	$39,385.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25,974.18 / $37,046.67 / $60,605.39	Professional		$25,974.18	$37,046.67	$60,605.39
United Facility/Professional Facility Modifier Low / Median / High Price $41,482.01 / $41,482.01 / $67,408.28	Facility		$41,482.01	$41,482.01	$67,408.28
United Facility/Professional Professional Modifier Low / Median / High Price $13,783.15 / $15,385.31 / $33,923.19	Professional		$13,783.15	$15,385.31	$33,923.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28,254.58 / $28,254.58 / $28,254.58	Facility		$28,254.58	$28,254.58	$28,254.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22,321.12 / $28,254.58 / $28,254.58	Professional		$22,321.12	$28,254.58	$28,254.58