Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,502.41 / $18,792.59 / $18,792.59	Facility		$16,502.41	$18,792.59	$18,792.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,397.00 / $12,037.88 / $18,962.38	Professional		$9,397.00	$12,037.88	$18,962.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $14,513.81 / $24,558.72	Facility		$14,513.81	$14,513.81	$24,558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,513.81 / $26,010.38 / $32,512.97	Professional		$14,513.81	$26,010.38	$32,512.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21,314.50 / $22,480.06 / $26,985.23	Professional		$21,314.50	$22,480.06	$26,985.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $14,237.72 / $29,023.94 / $104,478.94	Facility		$14,237.72	$29,023.94	$104,478.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,673.31 / $13,968.01 / $30,503.95	Professional		$10,673.31	$13,968.01	$30,503.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24,486.86 / $24,558.72 / $30,448.30	Facility		$24,486.86	$24,558.72	$30,448.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20,113.72 / $28,687.95 / $46,931.22	Professional		$20,113.72	$28,687.95	$46,931.22
United Facility/Professional Professional Modifier Low / Median / High Price $10,641.68 / $11,509.53 / $26,269.20	Professional		$10,641.68	$11,509.53	$26,269.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21,879.59 / $21,879.59 / $21,879.59	Facility		$21,879.59	$21,879.59	$21,879.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17,284.88 / $21,879.59 / $21,879.59	Professional		$17,284.88	$21,879.59	$21,879.59