Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $4,365.16	Facility		$831.76	$831.76	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $5,011.87	Professional		$831.76	$831.76	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,238.72	Professional		$1,778.28	$1,778.28	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $8,317.64	Facility		$1,380.38	$1,995.26	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70