Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $11,481.54	Facility		$9,332.54	$9,332.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,309.57 / $10,471.29	Professional		$5,128.61	$6,309.57	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $13,489.63	Facility		$8,128.31	$8,128.31	$13,489.63
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 $11,481.54 / $12,589.25 / $15,135.61	Professional		$11,481.54	$12,589.25	$15,135.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $15,488.17 / $61,659.50	Facility		$8,128.31	$15,488.17	$61,659.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $19,952.62	Professional		$5,888.44	$8,709.64	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,803.84 / $18,197.01	Professional		$13,182.57	$13,803.84	$18,197.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $19,952.62 / $19,952.62	Professional		$13,803.84	$19,952.62	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,120.11 / $19,498.45	Facility		$5,011.87	$9,120.11	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,309.57 / $10,964.78	Professional		$5,888.44	$6,309.57	$10,964.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,748.98 / $11,748.98	Professional		$9,332.54	$11,748.98	$11,748.98