Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,640.39 / $9,049.23 / $9,049.23	Facility		$7,640.39	$9,049.23	$9,049.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,491.89 / $5,554.10 / $9,064.26	Professional		$4,491.89	$5,554.10	$9,064.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $10,905.82	Facility		$7,261.93	$7,261.93	$10,905.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,103.78 / $12,525.00 / $15,656.25	Professional		$10,103.78	$12,525.00	$15,656.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9,125.70 / $10,536.81 / $10,954.57	Professional		$9,125.70	$10,536.81	$10,954.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,322.56 / $12,888.69 / $48,028.87	Facility		$6,322.56	$12,888.69	$48,028.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,739.71 / $6,333.10 / $13,545.92	Professional		$4,739.71	$6,333.10	$13,545.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,873.92 / $10,905.82 / $14,048.41	Facility		$10,873.92	$10,905.82	$14,048.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,951.70 / $12,888.69 / $20,840.78	Professional		$8,951.70	$12,888.69	$20,840.78
United Facility/Professional Professional Modifier Low / Median / High Price $4,725.66 / $5,487.73 / $12,993.59	Professional		$4,725.66	$5,487.73	$12,993.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9,716.09 / $9,716.09 / $9,716.09	Facility		$9,716.09	$9,716.09	$9,716.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,675.71 / $9,716.09 / $9,716.09	Professional		$7,675.71	$9,716.09	$9,716.09