Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,195.53 / $15,196.95 / $15,196.95	Facility		$15,195.53	$15,196.95	$15,196.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,214.43 / $10,216.62 / $15,164.72	Professional		$7,214.43	$10,216.62	$15,164.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,736.82 / $11,736.82 / $18,964.09	Facility		$11,736.82	$11,736.82	$18,964.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,736.82 / $21,033.75 / $26,292.19	Professional		$11,736.82	$21,033.75	$26,292.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16,409.38 / $18,143.50 / $19,899.43	Professional		$16,409.38	$18,143.50	$19,899.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $10,994.28 / $22,412.10 / $87,176.00	Facility		$10,994.28	$22,412.10	$87,176.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,486.39 / $11,315.18 / $23,554.98	Professional		$8,486.39	$11,315.18	$23,554.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18,908.62 / $18,964.09 / $25,841.65	Facility		$18,908.62	$18,964.09	$25,841.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17,170.56 / $22,346.04 / $36,240.00	Professional		$17,170.56	$22,346.04	$36,240.00
United Facility/Professional Professional Modifier Low / Median / High Price $8,486.39 / $9,578.08 / $21,490.98	Professional		$8,486.39	$9,578.08	$21,490.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16,895.28 / $16,895.28 / $16,895.28	Facility		$16,895.28	$16,895.28	$16,895.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13,347.27 / $16,895.28 / $16,895.28	Professional		$13,347.27	$16,895.28	$16,895.28