Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,991.15 / $9,006.70 / $9,006.70	Facility		$7,991.15	$9,006.70	$9,006.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,561.59 / $5,658.08 / $9,204.92	Professional		$4,561.59	$5,658.08	$9,204.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $11,120.11	Facility		$7,503.37	$7,503.37	$11,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,503.37 / $12,466.13 / $15,582.66	Professional		$7,503.37	$12,466.13	$15,582.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9,804.64 / $10,950.30 / $13,285.62	Professional		$9,804.64	$10,950.30	$13,285.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,446.80 / $13,141.95 / $48,813.24	Facility		$6,446.80	$13,141.95	$48,813.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,832.84 / $6,457.56 / $13,812.11	Professional		$4,832.84	$6,457.56	$13,812.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11,087.58 / $11,120.11 / $14,311.40	Facility		$11,087.58	$11,120.11	$14,311.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,362.66 / $12,989.82 / $21,250.31	Professional		$9,362.66	$12,989.82	$21,250.31
United Facility/Professional Professional Modifier Low / Median / High Price $4,699.85 / $5,741.49 / $13,248.94	Professional		$4,699.85	$5,741.49	$13,248.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9,907.01 / $9,907.01 / $9,907.01	Facility		$9,907.01	$9,907.01	$9,907.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,826.54 / $9,907.01 / $9,907.01	Professional		$7,826.54	$9,907.01	$9,907.01