Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $16,595.87 / $17,782.79	Facility		$15,488.17	$16,595.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,964.78 / $17,782.79	Professional		$8,912.51	$10,964.78	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $23,442.29	Facility		$12,882.50	$12,882.50	$23,442.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $24,547.09 / $30,902.95	Professional		$12,882.50	$24,547.09	$30,902.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $22,908.68 / $27,542.29	Professional		$19,952.62	$22,908.68	$27,542.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $25,118.86 / $97,723.72	Facility		$15,135.61	$25,118.86	$97,723.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $14,125.38 / $35,481.34	Professional		$10,000.00	$14,125.38	$35,481.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $23,988.33 / $28,840.32	Professional		$22,908.68	$23,988.33	$28,840.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Facility		$23,442.29	$23,442.29	$23,442.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $35,481.34 / $35,481.34	Professional		$21,379.62	$35,481.34	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $15,488.17 / $30,902.95	Facility		$9,332.54	$15,488.17	$30,902.95
United Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,964.78 / $18,620.87	Professional		$9,772.37	$10,964.78	$18,620.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $20,892.96 / $20,892.96	Professional		$16,218.10	$20,892.96	$20,892.96