Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.80 / $463.80 / $3,511.00	Facility		$463.80	$463.80	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.39 / $442.59 / $474.90	Professional		$405.39	$442.59	$474.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.41 / $799.36 / $999.20	Professional		$726.41	$799.36	$999.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.86 / $685.11 / $1,258.45	Facility		$514.86	$685.11	$1,258.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $817.18 / $3,591.68	Professional		$347.30	$817.18	$3,591.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $514.85 / $1,077.85 / $1,516.27	Facility		$514.85	$1,077.85	$1,516.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $778.29 / $944.03 / $1,261.23	Professional		$778.29	$944.03	$1,261.23
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.45 / $735.46 / $1,152.65	Professional		$449.45	$735.46	$1,152.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.90 / $331.90 / $331.90	Professional		$331.90	$331.90	$331.90