Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,943.28 / $8,709.64	Facility		$7,585.78	$7,943.28	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $8,709.64	Professional		$4,365.16	$5,248.07	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $11,481.54	Facility		$6,606.93	$6,606.93	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $12,022.64 / $14,791.08	Professional		$6,606.93	$12,022.64	$14,791.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,232.93 / $10,715.19	Professional		$8,709.64	$10,232.93	$10,715.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $13,182.57 / $47,863.01	Facility		$6,918.31	$13,182.57	$47,863.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,918.31 / $16,982.44	Professional		$4,897.79	$6,918.31	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,748.98 / $14,125.38	Professional		$11,220.18	$11,748.98	$14,125.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $16,982.44 / $16,982.44	Professional		$10,471.29	$16,982.44	$16,982.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,585.78 / $15,135.61	Facility		$4,570.88	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $9,332.54	Professional		$4,677.35	$5,248.07	$9,332.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,000.00 / $10,000.00	Professional		$7,943.28	$10,000.00	$10,000.00