Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,084.01 / $8,470.41 / $8,470.41	Facility		$7,084.01	$8,470.41	$8,470.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,336.78 / $4,937.87 / $7,033.63	Professional		$3,336.78	$4,937.87	$7,033.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $9,913.01	Facility		$6,541.83	$6,541.83	$9,913.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,541.83 / $11,723.63 / $14,654.53	Professional		$6,541.83	$11,723.63	$14,654.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,873.21 / $9,011.83 / $10,112.75	Professional		$7,873.21	$9,011.83	$10,112.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,746.99 / $11,715.38 / $42,519.53	Facility		$5,746.99	$11,715.38	$42,519.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,308.22 / $5,582.26 / $12,312.78	Professional		$4,308.22	$5,582.26	$12,312.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9,884.01 / $9,913.01 / $12,168.54	Facility		$9,884.01	$9,913.01	$12,168.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,299.84 / $11,579.76 / $18,943.55	Professional		$8,299.84	$11,579.76	$18,943.55
United Facility/Professional Facility Modifier Low / Median / High Price $12,816.13 / $12,816.13 / $20,826.21	Facility		$12,816.13	$12,816.13	$20,826.21
United Facility/Professional Professional Modifier Low / Median / High Price $4,156.84 / $4,782.14 / $11,810.73	Professional		$4,156.84	$4,782.14	$11,810.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8,831.59 / $8,831.59 / $8,831.59	Facility		$8,831.59	$8,831.59	$8,831.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,976.96 / $8,831.59 / $8,831.59	Professional		$6,976.96	$8,831.59	$8,831.59