Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $11,748.98	Facility		$9,549.93	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,079.46 / $11,220.18	Professional		$5,495.41	$7,079.46	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $13,803.84	Facility		$9,120.11	$9,120.11	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $16,218.10 / $20,417.38	Professional		$9,120.11	$16,218.10	$20,417.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $14,125.38 / $15,488.17	Professional		$11,748.98	$14,125.38	$15,488.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $15,848.93 / $63,095.73	Facility		$8,317.64	$15,848.93	$63,095.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $20,417.38	Professional		$6,025.60	$8,912.51	$20,417.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $14,125.38 / $18,620.87	Professional		$13,489.63	$14,125.38	$18,620.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $20,417.38 / $20,417.38	Professional		$14,125.38	$20,417.38	$20,417.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,332.54 / $19,952.62	Facility		$5,128.61	$9,332.54	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,606.93 / $11,748.98	Professional		$6,025.60	$6,606.93	$11,748.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,022.64 / $12,022.64	Professional		$9,549.93	$12,022.64	$12,022.64