Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,387.57 / $7,274.04 / $7,274.04	Facility		$6,387.57	$7,274.04	$7,274.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,637.28 / $4,659.47 / $7,339.74	Professional		$3,637.28	$4,659.47	$7,339.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $9,505.94	Facility		$6,042.00	$6,042.00	$9,505.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,042.00 / $10,068.00 / $12,585.00	Professional		$6,042.00	$10,068.00	$12,585.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,250.19 / $9,042.57 / $11,080.20	Professional		$8,250.19	$9,042.57	$11,080.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,510.99 / $11,234.29 / $40,507.83	Facility		$5,510.99	$11,234.29	$40,507.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,131.32 / $5,406.58 / $11,807.16	Professional		$4,131.32	$5,406.58	$11,807.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9,478.12 / $9,505.94 / $11,785.58	Facility		$9,478.12	$9,505.94	$11,785.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,785.41 / $11,104.24 / $18,165.66	Professional		$7,785.41	$11,104.24	$18,165.66
United Facility/Professional Professional Modifier Low / Median / High Price $4,131.32 / $4,454.99 / $10,167.99	Professional		$4,131.32	$4,454.99	$10,167.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8,468.92 / $8,468.92 / $8,468.92	Facility		$8,468.92	$8,468.92	$8,468.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,690.45 / $8,468.92 / $8,468.92	Professional		$6,690.45	$8,468.92	$8,468.92