Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,194.52 / $12,194.52 / $13,905.96	Facility		$12,194.52	$12,194.52	$13,905.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,971.62 / $8,609.73 / $12,194.52	Professional		$5,971.62	$8,609.73	$12,194.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $15,768.62	Facility		$9,418.01	$9,418.01	$15,768.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,418.01 / $16,878.38 / $21,097.97	Professional		$9,418.01	$16,878.38	$21,097.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13,830.97 / $14,654.37 / $17,956.55	Professional		$13,830.97	$14,654.37	$17,956.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $9,141.73 / $18,635.64 / $74,662.03	Facility		$9,141.73	$18,635.64	$74,662.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,087.84 / $9,535.51 / $19,585.93	Professional		$7,087.84	$9,535.51	$19,585.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15,722.49 / $15,768.62 / $21,777.21	Facility		$15,722.49	$15,768.62	$21,777.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14,167.00 / $18,419.91 / $30,133.53	Professional		$14,167.00	$18,419.91	$30,133.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $7,087.84 / $8,506.83 / $18,787.34	Professional		$7,087.84	$8,506.83	$18,787.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14,048.41 / $14,048.41 / $14,048.41	Facility		$14,048.41	$14,048.41	$14,048.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11,098.24 / $14,048.41 / $14,048.41	Professional		$11,098.24	$14,048.41	$14,048.41