Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.75 / $426.75 / $426.75	Facility		$426.75	$426.75	$426.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.94 / $426.75 / $426.75	Professional		$416.94	$426.75	$426.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.85 / $939.59 / $1,174.49	Professional		$853.85	$939.59	$1,174.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.63 / $721.21 / $5,433.85	Facility		$217.63	$721.21	$5,433.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.17 / $785.76 / $7,231.97	Professional		$432.17	$785.76	$7,231.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $424.41 / $987.28 / $1,245.14	Facility		$424.41	$987.28	$1,245.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $632.23 / $858.76 / $1,245.14	Professional		$632.23	$858.76	$1,245.14
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
United Facility/Professional Professional Modifier Low / Median / High Price $432.17 / $785.76 / $1,108.32	Professional		$432.17	$785.76	$1,108.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,083.10 / $5,980.10 / $6,219.30	Professional		$5,083.10	$5,980.10	$6,219.30