Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.06 / $1,186.06 / $4,338.00	Facility		$1,186.06	$1,186.06	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.82 / $1,186.06 / $1,881.89	Professional		$1,000.82	$1,186.06	$1,881.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,056.73 / $2,263.29 / $2,829.11	Professional		$2,056.73	$2,263.29	$2,829.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,437.68 / $1,876.00 / $3,131.04	Facility		$1,437.68	$1,876.00	$3,131.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,089.00 / $2,203.91 / $9,587.96	Professional		$1,089.00	$2,203.91	$9,587.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,457.94 / $2,643.35 / $3,735.41	Facility		$1,457.94	$2,643.35	$3,735.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,457.94 / $2,270.63 / $2,963.89	Professional		$1,457.94	$2,270.63	$2,963.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,067.53 / $1,944.26 / $3,007.54	Professional		$1,067.53	$1,944.26	$3,007.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $939.80 / $939.80 / $939.80	Professional		$939.80	$939.80	$939.80