Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.43 / $7,213.94 / $7,213.94	Facility		$6,165.43	$7,213.94	$7,213.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,480.60 / $4,567.02 / $7,213.94	Professional		$3,480.60	$4,567.02	$7,213.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $9,102.84	Facility		$4,751.45	$4,751.45	$9,102.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,751.45 / $9,984.75 / $12,480.94	Professional		$4,751.45	$9,984.75	$12,480.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,182.03 / $8,888.24 / $10,669.51	Professional		$8,182.03	$8,888.24	$10,669.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,277.30 / $10,633.37 / $39,447.21	Facility		$5,277.30	$10,633.37	$39,447.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,956.13 / $5,286.12 / $11,306.48	Professional		$3,956.13	$5,286.12	$11,306.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9,076.20 / $9,102.84 / $11,551.70	Facility		$9,076.20	$9,102.84	$11,551.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,455.29 / $10,757.90 / $17,395.36	Professional		$7,455.29	$10,757.90	$17,395.36
United Facility/Professional Professional Modifier Low / Median / High Price $3,956.13 / $4,266.08 / $7,161.27	Professional		$3,956.13	$4,266.08	$7,161.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8,275.31 / $8,275.31 / $8,275.31	Facility		$8,275.31	$8,275.31	$8,275.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,537.49 / $8,275.31 / $8,275.31	Professional		$6,537.49	$8,275.31	$8,275.31