Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,585.78 / $8,511.38	Facility		$7,244.36	$7,585.78	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $8,511.38	Professional		$4,168.69	$5,128.61	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $10,964.78	Facility		$7,943.28	$7,943.28	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $11,748.98 / $14,791.08	Professional		$7,943.28	$11,748.98	$14,791.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $10,715.19 / $12,882.50	Professional		$9,332.54	$10,715.19	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,589.25 / $42,657.95	Facility		$7,585.78	$12,589.25	$42,657.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,760.83 / $16,218.10	Professional		$4,677.35	$6,760.83	$16,218.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $11,220.18 / $13,489.63	Professional		$10,715.19	$11,220.18	$13,489.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $16,218.10 / $16,218.10	Professional		$10,232.93	$16,218.10	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,918.31 / $14,454.40	Facility		$4,466.84	$6,918.31	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,011.87 / $8,912.51	Professional		$4,570.88	$5,011.87	$8,912.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,772.37 / $9,772.37	Professional		$7,762.47	$9,772.37	$9,772.37