Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,232.93 / $10,715.19	Facility		$10,000.00	$10,232.93	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,456.54 / $10,232.93	Professional		$4,570.88	$6,456.54	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $14,791.08	Facility		$8,317.64	$8,317.64	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $14,791.08 / $18,620.87	Professional		$8,317.64	$14,791.08	$18,620.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $12,302.69 / $13,182.57	Professional		$10,715.19	$12,302.69	$13,182.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $16,218.10 / $56,234.13	Facility		$8,912.51	$16,218.10	$56,234.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,128.31 / $21,877.62	Professional		$6,165.95	$8,128.31	$21,877.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,791.08 / $16,982.44	Professional		$14,454.40	$14,791.08	$16,982.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility		$14,791.08	$14,791.08	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $21,877.62 / $21,877.62	Professional		$12,302.69	$21,877.62	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,128.31 / $17,378.01	Facility		$4,466.84	$8,128.31	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,456.54 / $12,022.64	Professional		$6,025.60	$6,456.54	$12,022.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,882.50 / $12,882.50	Professional		$10,232.93	$12,882.50	$12,882.50