Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.80 / $656.80 / $656.80	Facility		$656.80	$656.80	$656.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.85 / $656.80 / $668.06	Professional		$592.85	$656.80	$668.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,625.67 / $2,870.20 / $3,587.76	Professional		$1,625.67	$2,870.20	$3,587.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.26 / $1,001.92 / $2,000.00	Facility		$640.26	$1,001.92	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $696.23 / $1,265.88 / $5,193.35	Professional		$696.23	$1,265.88	$5,193.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $586.25 / $1,625.67 / $2,086.71	Facility		$586.25	$1,625.67	$2,086.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $674.72 / $1,402.73 / $2,086.71	Professional		$674.72	$1,402.73	$2,086.71
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 $729.20 / $1,465.62 / $1,793.43	Professional		$729.20	$1,465.62	$1,793.43
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