Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,456.54 / $7,244.36	Facility		$6,165.95	$6,456.54	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $7,244.36	Professional		$3,548.13	$4,365.16	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $9,332.54	Facility		$4,786.30	$4,786.30	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $10,000.00 / $12,589.25	Professional		$4,786.30	$10,000.00	$12,589.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $8,912.51 / $10,715.19	Professional		$7,943.28	$8,912.51	$10,715.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,232.93 / $39,810.72	Facility		$5,888.44	$10,232.93	$39,810.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $13,803.84	Professional		$3,981.07	$5,754.40	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,549.93 / $11,481.54	Professional		$9,120.11	$9,549.93	$11,481.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,803.84 / $13,803.84	Professional		$8,709.64	$13,803.84	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $12,302.69	Facility		$3,801.89	$6,309.57	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $7,244.36	Professional		$3,890.45	$4,265.80	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,317.64 / $8,317.64	Professional		$6,606.93	$8,317.64	$8,317.64