Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.25 / $285.25 / $285.25	Facility		$285.25	$285.25	$285.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.78 / $285.25 / $285.25	Professional		$247.78	$285.25	$285.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.16 / $687.95 / $859.93	Professional		$625.16	$687.95	$859.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.63 / $418.75 / $1,346.40	Facility		$217.63	$418.75	$1,346.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.28 / $375.00 / $13,680.00	Professional		$214.28	$375.00	$13,680.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $348.53 / $699.20 / $870.76	Facility		$348.53	$699.20	$870.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $526.86 / $608.16 / $870.76	Professional		$526.86	$608.16	$870.76
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 $268.51 / $503.75 / $503.75	Professional		$268.51	$503.75	$503.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,791.80 / $4,460.89 / $4,639.39	Professional		$3,791.80	$4,460.89	$4,639.39