Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.41 / $533.41 / $3,511.00	Facility		$533.41	$533.41	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.67 / $533.41 / $547.16	Professional		$481.67	$533.41	$547.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.95 / $3,301.05 / $4,126.31	Professional		$1,320.95	$3,301.05	$4,126.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.92 / $814.02 / $1,608.14	Facility		$500.92	$814.02	$1,608.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $729.20 / $1,466.78 / $4,219.60	Professional		$729.20	$1,466.78	$4,219.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $586.25 / $1,320.95 / $1,797.85	Facility		$586.25	$1,320.95	$1,797.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $592.57 / $1,147.97 / $1,797.85	Professional		$592.57	$1,147.97	$1,797.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.90 / $1,330.02 / $2,068.92	Professional		$698.90	$1,330.02	$2,068.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,102.90 / $3,796.40 / $3,796.40	Professional		$3,102.90	$3,796.40	$3,796.40