Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,573.68 / $6,394.51 / $6,394.51	Facility		$5,573.68	$6,394.51	$6,394.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,217.73 / $4,280.22 / $7,414.93	Professional		$3,217.73	$4,280.22	$7,414.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $7,839.21	Facility		$4,938.58	$4,938.58	$7,839.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,938.58 / $8,850.37 / $11,062.97	Professional		$4,938.58	$8,850.37	$11,062.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,911.84 / $7,634.35 / $8,757.28	Professional		$6,911.84	$7,634.35	$8,757.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,544.72 / $9,264.52 / $37,094.85	Facility		$4,544.72	$9,264.52	$37,094.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,523.64 / $4,740.47 / $9,736.93	Professional		$3,523.64	$4,740.47	$9,736.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,816.27 / $7,839.21 / $10,826.30	Facility		$7,816.27	$7,839.21	$10,826.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,530.28 / $9,264.52 / $14,980.55	Professional		$6,530.28	$9,264.52	$14,980.55
United Facility/Professional Professional Modifier Low / Median / High Price $3,523.64 / $3,555.35 / $8,385.19	Professional		$3,523.64	$3,555.35	$8,385.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,984.02 / $6,984.02 / $6,984.02	Facility		$6,984.02	$6,984.02	$6,984.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,517.38 / $6,984.02 / $6,984.02	Professional		$5,517.38	$6,984.02	$6,984.02