Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $8,511.38	Facility		$7,079.46	$7,079.46	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,128.61 / $8,128.31	Professional		$3,981.07	$5,128.61	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $10,232.93	Facility		$6,606.93	$6,606.93	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $11,748.98 / $14,791.08	Professional		$6,606.93	$11,748.98	$14,791.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,232.93 / $12,022.64	Professional		$8,709.64	$10,232.93	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $12,022.64 / $46,773.51	Facility		$6,309.57	$12,022.64	$46,773.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,606.93 / $15,135.61	Professional		$4,570.88	$6,606.93	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,471.29 / $13,803.84	Professional		$10,000.00	$10,471.29	$13,803.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $15,135.61 / $15,135.61	Professional		$10,471.29	$15,135.61	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,918.31 / $14,791.08	Facility		$3,981.07	$6,918.31	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,897.79 / $8,511.38	Professional		$4,570.88	$4,897.79	$8,511.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,912.51 / $8,912.51	Professional		$7,079.46	$8,912.51	$8,912.51