Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,515.37 / $10,515.37 / $11,611.16	Facility		$10,515.37	$10,515.37	$11,611.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,986.17 / $7,188.93 / $10,480.92	Professional		$4,986.17	$7,188.93	$10,480.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $13,166.46	Facility		$8,121.18	$8,121.18	$13,166.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,740.80 / $14,554.13 / $18,192.66	Professional		$11,740.80	$14,554.13	$18,192.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11,608.90 / $12,554.20 / $15,199.14	Professional		$11,608.90	$12,554.20	$15,199.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,633.15 / $15,560.36 / $62,341.20	Facility		$7,633.15	$15,560.36	$62,341.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,918.20 / $7,961.94 / $16,353.83	Professional		$5,918.20	$7,961.94	$16,353.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13,127.93 / $13,166.46 / $18,183.50	Facility		$13,127.93	$13,166.46	$18,183.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11,814.00 / $15,380.23 / $25,160.85	Professional		$11,814.00	$15,380.23	$25,160.85
United Facility/Professional Professional Modifier Low / Median / High Price $5,918.20 / $6,263.15 / $14,083.53	Professional		$5,918.20	$6,263.15	$14,083.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11,730.12 / $11,730.12 / $11,730.12	Facility		$11,730.12	$11,730.12	$11,730.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,266.79 / $11,730.12 / $11,730.12	Professional		$9,266.79	$11,730.12	$11,730.12