Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,796.83 / $6,588.16 / $6,588.16	Facility		$5,796.83	$6,588.16	$6,588.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,294.32 / $4,221.18 / $6,647.67	Professional		$3,294.32	$4,221.18	$6,647.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $8,609.61	Facility		$4,391.66	$4,391.66	$8,609.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,391.66 / $9,118.50 / $11,398.13	Professional		$4,391.66	$9,118.50	$11,398.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,435.57 / $7,982.20 / $9,053.93	Professional		$7,435.57	$7,982.20	$9,053.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,991.35 / $10,057.21 / $33,788.62	Facility		$4,991.35	$10,057.21	$33,788.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,741.77 / $4,898.01 / $10,693.85	Professional		$3,741.77	$4,898.01	$10,693.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8,584.43 / $8,609.61 / $10,676.97	Facility		$8,584.43	$8,609.61	$10,676.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,051.31 / $10,057.21 / $16,452.79	Professional		$7,051.31	$10,057.21	$16,452.79
United Facility/Professional Professional Modifier Low / Median / High Price $3,610.27 / $4,034.92 / $10,225.20	Professional		$3,610.27	$4,034.92	$10,225.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7,670.38 / $7,670.38 / $7,670.38	Facility		$7,670.38	$7,670.38	$7,670.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,059.60 / $7,670.38 / $7,670.38	Professional		$6,059.60	$7,670.38	$7,670.38