Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Facility		$825.00	$825.00	$825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $4,964.46	Professional		$825.00	$825.00	$4,964.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.96 / $1,742.07 / $2,177.58	Professional		$1,642.96	$1,742.07	$2,177.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,388.48 / $1,831.76 / $8,389.94	Facility		$1,388.48	$1,831.76	$8,389.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,468.14 / $1,616.74 / $1,718.62	Professional		$1,468.14	$1,616.74	$1,718.62
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,812.20 / $1,812.20 / $1,812.20	Professional		$1,812.20	$1,812.20	$1,812.20