Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.09 / $1,093.09 / $1,093.09	Facility		$1,093.09	$1,093.09	$1,093.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.79 / $1,093.09 / $1,093.09	Professional		$1,009.79	$1,093.09	$1,093.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,821.88 / $5,880.09 / $7,277.34	Professional		$5,821.88	$5,880.09	$7,277.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.34 / $1,706.55 / $2,000.00	Facility		$622.34	$1,706.55	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,286.01 / $2,338.19 / $9,248.35	Professional		$1,286.01	$2,338.19	$9,248.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,201.16 / $3,662.20 / $8,720.65	Facility		$1,201.16	$3,662.20	$8,720.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,064.31 / $4,097.77 / $10,867.67	Professional		$2,064.31	$4,097.77	$10,867.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.01 / $2,120.19 / $3,298.09	Professional		$1,286.01	$2,120.19	$3,298.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,283.80 / $1,510.30 / $1,555.60	Professional		$1,283.80	$1,510.30	$1,555.60