Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,350.01 / $11,307.38 / $11,307.38	Facility		$10,350.01	$11,307.38	$11,307.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,621.43 / $6,663.06 / $9,934.78	Professional		$4,621.43	$6,663.06	$9,934.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $14,001.82	Facility		$8,732.85	$8,732.85	$14,001.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,732.85 / $15,650.25 / $19,562.81	Professional		$8,732.85	$15,650.25	$19,562.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11,093.94 / $12,728.93 / $13,499.77	Professional		$11,093.94	$12,728.93	$13,499.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,117.45 / $16,547.61 / $58,756.37	Facility		$8,117.45	$16,547.61	$58,756.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,085.24 / $7,743.80 / $17,391.41	Professional		$6,085.24	$7,743.80	$17,391.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13,960.86 / $14,001.82 / $16,853.37	Facility		$13,960.86	$14,001.82	$16,853.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12,014.00 / $16,356.05 / $26,757.17	Professional		$12,014.00	$16,356.05	$26,757.17
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $6,085.24 / $7,313.70 / $16,682.30	Professional		$6,085.24	$7,313.70	$16,682.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12,474.35 / $12,474.35 / $12,474.35	Facility		$12,474.35	$12,474.35	$12,474.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,854.74 / $12,474.35 / $12,474.35	Professional		$9,854.74	$12,474.35	$12,474.35