Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,504.35 / $8,664.24 / $11,839.38	Facility		$7,504.35	$8,664.24	$11,839.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,218.89 / $5,699.53 / $8,664.24	Professional		$4,218.89	$5,699.53	$8,664.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $11,133.66	Facility		$5,687.89	$5,687.89	$11,133.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,687.89 / $11,992.13 / $14,990.16	Professional		$5,687.89	$11,992.13	$14,990.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,847.00 / $10,127.65 / $10,620.00	Professional		$8,847.00	$10,127.65	$10,620.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,667.01 / $13,005.64 / $44,565.35	Facility		$6,667.01	$13,005.64	$44,565.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,824.39 / $6,733.55 / $13,828.92	Professional		$4,824.39	$6,733.55	$13,828.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11,133.66 / $11,133.66 / $13,828.35	Facility		$11,133.66	$11,133.66	$13,828.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11,101.09 / $13,157.96 / $21,276.20	Professional		$11,101.09	$13,157.96	$21,276.20
United Facility/Professional Professional Modifier Low / Median / High Price $4,838.72 / $5,343.31 / $13,265.06	Professional		$4,838.72	$5,343.31	$13,265.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9,109.36 / $9,109.36 / $9,109.36	Facility		$9,109.36	$9,109.36	$9,109.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,196.39 / $9,109.36 / $9,109.36	Professional		$7,196.39	$9,109.36	$9,109.36