Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,051.81 / $8,484.91 / $8,484.91	Facility		$7,051.81	$8,484.91	$8,484.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,859.53 / $5,445.78 / $8,112.72	Professional		$3,859.53	$5,445.78	$8,112.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $10,062.58	Facility		$6,553.03	$6,553.03	$10,062.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,553.03 / $11,743.88 / $14,679.84	Professional		$6,553.03	$11,743.88	$14,679.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,872.19 / $10,130.04 / $11,920.83	Professional		$8,872.19	$10,130.04	$11,920.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,833.70 / $11,892.14 / $46,975.22	Facility		$5,833.70	$11,892.14	$46,975.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,523.03 / $6,031.35 / $12,498.57	Professional		$4,523.03	$6,031.35	$12,498.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,033.14 / $10,062.58 / $13,774.43	Facility		$10,033.14	$10,062.58	$13,774.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,262.11 / $11,892.14 / $19,229.39	Professional		$8,262.11	$11,892.14	$19,229.39
United Facility/Professional Professional Modifier Low / Median / High Price $4,523.03 / $4,715.87 / $10,763.37	Professional		$4,523.03	$4,715.87	$10,763.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8,964.84 / $8,964.84 / $8,964.84	Facility		$8,964.84	$8,964.84	$8,964.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,082.22 / $8,964.84 / $8,964.84	Professional		$7,082.22	$8,964.84	$8,964.84