Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.18 / $354.18 / $354.18	Facility		$354.18	$354.18	$354.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.51 / $325.47 / $354.18	Professional		$281.51	$325.47	$354.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.80 / $663.79 / $829.74	Professional		$616.80	$663.79	$829.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.63 / $598.55 / $891.79	Facility		$217.63	$598.55	$891.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.73 / $381.22 / $3,705.34	Professional		$228.73	$381.22	$3,705.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $424.41 / $788.94 / $1,033.45	Facility		$424.41	$788.94	$1,033.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $598.45 / $686.23 / $1,033.45	Professional		$598.45	$686.23	$1,033.45
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 $237.57 / $434.52 / $608.33	Professional		$237.57	$434.52	$608.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,519.10 / $4,140.10 / $4,305.70	Professional		$3,519.10	$4,140.10	$4,305.70