Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,101.77 / $10,750.07 / $10,750.07	Facility		$10,101.77	$10,750.07	$10,750.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,422.67 / $6,376.49 / $10,204.62	Professional		$4,422.67	$6,376.49	$10,204.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $14,382.14	Facility		$8,302.44	$8,302.44	$14,382.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,302.44 / $14,878.88 / $18,598.59	Professional		$8,302.44	$14,878.88	$18,598.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10,612.46 / $12,512.56 / $13,074.67	Professional		$10,612.46	$12,512.56	$13,074.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,337.93 / $16,800.30 / $56,471.55	Facility		$8,337.93	$16,800.30	$56,471.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,030.87 / $7,807.96 / $17,863.80	Professional		$6,030.87	$7,807.96	$17,863.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14,340.06 / $14,382.14 / $17,237.11	Facility		$14,340.06	$14,382.14	$17,237.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11,779.04 / $16,128.54 / $27,483.96	Professional		$11,779.04	$16,128.54	$27,483.96
United Facility/Professional Professional Modifier Low / Median / High Price $5,977.96 / $6,938.10 / $16,684.75	Professional		$5,977.96	$6,938.10	$16,684.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12,813.18 / $12,813.18 / $12,813.18	Facility		$12,813.18	$12,813.18	$12,813.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10,122.41 / $12,813.18 / $12,813.18	Professional		$10,122.41	$12,813.18	$12,813.18