Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Facility		$1,875.00	$1,875.00	$1,875.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,915.28	Professional		$1,875.00	$1,875.00	$1,915.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.73 / $2,458.06 / $3,072.58	Professional		$2,233.73	$2,458.06	$3,072.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,681.25 / $3,168.75 / $3,236.82	Facility		$2,681.25	$3,168.75	$3,236.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,833.14 / $2,833.14 / $2,833.14	Professional		$2,833.14	$2,833.14	$2,833.14
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 $2,105.19 / $2,476.69 / $2,575.69	Professional		$2,105.19	$2,476.69	$2,575.69