Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $11,220.18	Facility		$10,000.00	$10,000.00	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $10,000.00	Professional		$4,786.30	$6,606.93	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $14,125.38	Facility		$8,709.64	$8,709.64	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $15,488.17 / $19,498.45	Professional		$8,709.64	$15,488.17	$19,498.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,589.25 / $13,489.63	Professional		$11,220.18	$12,589.25	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $58,884.37	Facility		$8,709.64	$16,218.10	$58,884.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $8,317.64 / $21,379.62	Professional		$6,025.60	$8,317.64	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $14,454.40 / $16,982.44	Professional		$13,803.84	$14,454.40	$16,982.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $21,379.62 / $21,379.62	Professional		$12,589.25	$21,379.62	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,511.38 / $18,197.01	Facility		$4,677.35	$8,511.38	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,606.93 / $11,748.98	Professional		$5,888.44	$6,606.93	$11,748.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $12,589.25 / $12,589.25	Professional		$9,772.37	$12,589.25	$12,589.25