Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,753.05 / $11,753.05 / $11,884.36	Facility		$11,753.05	$11,753.05	$11,884.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,360.09 / $7,358.07 / $11,266.91	Professional		$5,360.09	$7,358.07	$11,266.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $13,476.24	Facility		$9,077.06	$9,077.06	$13,476.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,077.06 / $16,267.13 / $20,333.91	Professional		$9,077.06	$16,267.13	$20,333.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11,882.03 / $14,031.86 / $15,658.67	Professional		$11,882.03	$14,031.86	$15,658.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,812.74 / $15,926.47 / $63,807.96	Facility		$7,812.74	$15,926.47	$63,807.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,057.44 / $8,149.27 / $16,738.59	Professional		$6,057.44	$8,149.27	$16,738.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13,436.81 / $13,476.24 / $18,611.32	Facility		$13,436.81	$13,476.24	$18,611.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12,201.71 / $15,926.47 / $25,752.84	Professional		$12,201.71	$15,926.47	$25,752.84
United Facility/Professional Professional Modifier Low / Median / High Price $6,057.44 / $6,898.19 / $14,414.89	Professional		$6,057.44	$6,898.19	$14,414.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12,006.11 / $12,006.11 / $12,006.11	Facility		$12,006.11	$12,006.11	$12,006.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,484.83 / $12,006.11 / $12,006.11	Professional		$9,484.83	$12,006.11	$12,006.11