Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,953.53 / $19,798.34 / $19,798.34	Facility		$16,953.53	$19,798.34	$19,798.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,572.12 / $12,528.28 / $19,798.34	Professional		$9,572.12	$12,528.28	$19,798.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $13,034.23 / $25,049.43	Facility		$13,034.23	$13,034.23	$25,049.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,034.23 / $27,402.38 / $34,252.97	Professional		$13,034.23	$27,402.38	$34,252.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17,519.75 / $21,030.83 / $23,637.07	Professional		$17,519.75	$21,030.83	$23,637.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $13,223.55 / $29,603.87 / $100,282.95	Facility		$13,223.55	$29,603.87	$100,282.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,886.57 / $14,537.05 / $31,113.47	Professional		$10,886.57	$14,537.05	$31,113.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24,976.13 / $25,049.43 / $31,688.72	Facility		$24,976.13	$25,049.43	$31,688.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20,515.61 / $29,261.17 / $47,868.96	Professional		$20,515.61	$29,261.17	$47,868.96
United Facility/Professional Professional Modifier Low / Median / High Price $10,886.57 / $11,739.50 / $29,844.84	Professional		$10,886.57	$11,739.50	$29,844.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22,772.21 / $22,772.21 / $22,772.21	Facility		$22,772.21	$22,772.21	$22,772.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17,990.05 / $22,772.21 / $22,772.21	Professional		$17,990.05	$22,772.21	$22,772.21