Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.58 / $1,937.58 / $1,937.58	Facility		$1,937.58	$1,937.58	$1,937.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.80 / $1,937.58 / $1,957.52	Professional		$1,746.80	$1,937.58	$1,957.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,972.16 / $5,463.83 / $6,829.79	Professional		$3,972.16	$5,463.83	$6,829.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,688.44 / $3,274.51 / $5,759.33	Facility		$1,688.44	$3,274.51	$5,759.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $970.15 / $2,280.67 / $15,301.92	Professional		$970.15	$2,280.67	$15,301.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,918.09 / $4,708.93 / $6,520.85	Facility		$2,918.09	$4,708.93	$6,520.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,918.09 / $4,411.17 / $5,662.67	Professional		$2,918.09	$4,411.17	$5,662.67
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 $1,131.83 / $2,280.67 / $3,862.58	Professional		$1,131.83	$2,280.67	$3,862.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,046.20 / $4,950.70 / $4,950.70	Professional		$4,046.20	$4,950.70	$4,950.70