Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $13,803.84	Facility		$11,220.18	$11,220.18	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,762.47 / $12,302.69	Professional		$6,165.95	$7,762.47	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $16,218.10	Facility		$9,332.54	$9,332.54	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $16,982.44 / $20,892.96	Professional		$9,332.54	$16,982.44	$20,892.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $14,791.08 / $17,782.79	Professional		$13,489.63	$14,791.08	$17,782.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,620.87 / $74,131.02	Facility		$9,772.37	$18,620.87	$74,131.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $10,471.29 / $23,988.33	Professional		$7,079.46	$10,471.29	$23,988.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $16,218.10 / $21,877.62	Professional		$15,848.93	$16,218.10	$21,877.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Facility		$16,218.10	$16,218.10	$16,218.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $23,988.33 / $23,988.33	Professional		$16,595.87	$23,988.33	$23,988.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,964.78 / $23,442.29	Facility		$6,025.60	$10,964.78	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,585.78 / $13,182.57	Professional		$7,079.46	$7,585.78	$13,182.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $14,125.38 / $14,125.38	Professional		$11,220.18	$14,125.38	$14,125.38