Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,215.33 / $10,534.90 / $10,534.90	Facility		$10,215.33	$10,534.90	$10,534.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,386.76 / $6,324.72 / $9,220.95	Professional		$4,386.76	$6,324.72	$9,220.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $11,611.57	Facility		$8,136.27	$8,136.27	$11,611.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,136.27 / $14,581.13 / $18,226.41	Professional		$8,136.27	$14,581.13	$18,226.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10,237.92 / $12,577.53 / $13,599.61	Professional		$10,237.92	$12,577.53	$13,599.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,731.71 / $13,722.76 / $54,846.88	Facility		$6,731.71	$13,722.76	$54,846.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,219.28 / $7,004.80 / $14,422.51	Professional		$5,219.28	$7,004.80	$14,422.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11,577.59 / $11,611.57 / $15,997.57	Facility		$11,577.59	$11,611.57	$15,997.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,513.39 / $13,722.76 / $22,189.45	Professional		$10,513.39	$13,722.76	$22,189.45
United Facility/Professional Professional Modifier Low / Median / High Price $5,219.28 / $6,071.73 / $12,420.32	Professional		$5,219.28	$6,071.73	$12,420.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10,344.85 / $10,344.85 / $10,344.85	Facility		$10,344.85	$10,344.85	$10,344.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,172.43 / $10,344.85 / $10,344.85	Professional		$8,172.43	$10,344.85	$10,344.85