Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $6,456.54	Facility		$5,623.41	$5,623.41	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $7,413.10	Professional		$3,235.94	$3,981.07	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $7,943.28	Facility		$4,897.79	$4,897.79	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $8,912.51 / $10,964.78	Professional		$4,897.79	$8,912.51	$10,964.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $8,709.64	Professional		$6,760.83	$7,943.28	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $9,332.54 / $37,153.52	Facility		$4,897.79	$9,332.54	$37,153.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $12,022.64	Professional		$3,548.13	$5,128.61	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,128.31 / $10,715.19	Professional		$7,762.47	$8,128.31	$10,715.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $12,022.64 / $12,022.64	Professional		$8,128.31	$12,022.64	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $11,748.98	Facility		$3,019.95	$5,495.41	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $6,456.54	Professional		$3,548.13	$3,801.89	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,918.31 / $6,918.31	Professional		$5,495.41	$6,918.31	$6,918.31