Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $10,471.29	Facility		$8,317.64	$8,317.64	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,165.95 / $9,120.11	Professional		$4,466.84	$6,165.95	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $11,748.98	Facility		$8,128.31	$8,128.31	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $14,454.40 / $18,197.01	Professional		$8,128.31	$14,454.40	$18,197.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $12,589.25 / $13,489.63	Professional		$10,000.00	$12,589.25	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,803.84 / $54,954.09	Facility		$7,244.36	$13,803.84	$54,954.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,762.47 / $18,197.01	Professional		$5,248.07	$7,762.47	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $12,022.64 / $15,848.93	Professional		$11,481.54	$12,022.64	$15,848.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $17,782.79 / $17,782.79	Professional		$12,022.64	$17,782.79	$17,782.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,128.31 / $17,378.01	Facility		$4,466.84	$8,128.31	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,754.40 / $10,000.00	Professional		$5,248.07	$5,754.40	$10,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $10,232.93 / $10,232.93	Professional		$8,128.31	$10,232.93	$10,232.93