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 $1,800.00 / $1,875.00 / $1,875.00	Professional		$1,800.00	$1,875.00	$1,875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.79 / $2,151.10 / $2,688.87	Professional		$1,954.79	$2,151.10	$2,688.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,574.00 / $3,155.63 / $3,168.75	Facility		$2,574.00	$3,155.63	$3,168.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,122.15 / $2,122.15 / $2,122.15	Professional		$2,122.15	$2,122.15	$2,122.15
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 $1,826.60 / $1,826.60 / $1,826.60	Professional		$1,826.60	$1,826.60	$1,826.60