Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,828.16 / $12,828.16 / $14,025.20	Facility		$12,828.16	$12,828.16	$14,025.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,764.35 / $8,683.56 / $13,649.91	Professional		$6,764.35	$8,683.56	$13,649.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $16,370.26	Facility		$9,907.40	$9,907.40	$16,370.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,907.40 / $17,755.13 / $22,193.91	Professional		$9,907.40	$17,755.13	$22,193.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14,433.67 / $15,315.43 / $18,296.50	Professional		$14,433.67	$15,315.43	$18,296.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $9,490.52 / $19,346.66 / $75,302.32	Facility		$9,490.52	$19,346.66	$75,302.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,212.96 / $9,617.28 / $20,333.20	Professional		$7,212.96	$9,617.28	$20,333.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16,322.36 / $16,370.26 / $21,963.97	Facility		$16,322.36	$16,370.26	$21,963.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14,822.03 / $19,346.66 / $31,283.24	Professional		$14,822.03	$19,346.66	$31,283.24
United Facility/Professional Professional Modifier Low / Median / High Price $7,212.96 / $8,452.20 / $19,504.14	Professional		$7,212.96	$8,452.20	$19,504.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14,584.41 / $14,584.41 / $14,584.41	Facility		$14,584.41	$14,584.41	$14,584.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11,521.68 / $14,584.41 / $14,584.41	Professional		$11,521.68	$14,584.41	$14,584.41