Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $15,135.61	Facility		$13,489.63	$13,489.63	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,772.37 / $15,135.61	Professional		$7,413.10	$9,772.37	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $19,498.45	Facility		$11,748.98	$11,748.98	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $20,892.96 / $26,302.68	Professional		$11,748.98	$20,892.96	$26,302.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $18,197.01 / $19,952.62	Professional		$16,218.10	$18,197.01	$19,952.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $87,096.36	Facility		$11,748.98	$22,387.21	$87,096.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $12,589.25 / $28,840.32	Professional		$8,511.38	$12,589.25	$28,840.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $19,498.45 / $25,703.96	Professional		$19,054.61	$19,498.45	$25,703.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility		$19,498.45	$19,498.45	$19,498.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $28,840.32 / $28,840.32	Professional		$19,498.45	$28,840.32	$28,840.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,182.57 / $27,542.29	Facility		$7,585.78	$13,182.57	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $9,120.11 / $15,848.93	Professional		$8,511.38	$9,120.11	$15,848.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $16,982.44 / $16,982.44	Professional		$13,489.63	$16,982.44	$16,982.44