Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,278.03 / $8,499.20 / $8,499.20	Facility		$7,278.03	$8,499.20	$8,499.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,106.08 / $5,377.63 / $8,499.20	Professional		$4,106.08	$5,377.63	$8,499.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $10,753.52	Facility		$7,957.05	$7,957.05	$10,753.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,957.05 / $11,763.75 / $14,704.69	Professional		$7,957.05	$11,763.75	$14,704.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9,481.42 / $10,588.18 / $12,974.10	Professional		$9,481.42	$10,588.18	$12,974.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,234.27 / $12,894.70 / $43,045.38	Facility		$6,234.27	$12,894.70	$43,045.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,673.53 / $6,239.87 / $13,356.77	Professional		$4,673.53	$6,239.87	$13,356.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10,722.06 / $10,753.52 / $13,602.03	Facility		$10,722.06	$10,753.52	$13,602.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,807.20 / $12,561.59 / $20,549.77	Professional		$8,807.20	$12,561.59	$20,549.77
United Facility/Professional Facility Modifier Low / Median / High Price $14,325.92 / $14,325.92 / $23,279.63	Facility		$14,325.92	$14,325.92	$23,279.63
United Facility/Professional Professional Modifier Low / Median / High Price $4,673.53 / $4,927.14 / $9,304.87	Professional		$4,673.53	$4,927.14	$9,304.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9,775.93 / $9,775.93 / $9,775.93	Facility		$9,775.93	$9,775.93	$9,775.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,722.98 / $9,775.93 / $9,775.93	Professional		$7,722.98	$9,775.93	$9,775.93