Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.63 / $741.63 / $741.63	Facility		$741.63	$741.63	$741.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.49 / $741.63 / $754.00	Professional		$669.49	$741.63	$754.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,399.84 / $3,301.05 / $4,126.31	Professional		$2,399.84	$3,301.05	$4,126.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $669.49 / $1,131.44 / $2,235.92	Facility		$669.49	$1,131.44	$2,235.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.94 / $1,627.97 / $5,864.80	Professional		$776.94	$1,627.97	$5,864.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,835.94 / $2,008.70 / $2,353.67	Facility		$1,835.94	$2,008.70	$2,353.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,581.37 / $2,038.18 / $3,331.30	Professional		$1,581.37	$2,038.18	$3,331.30
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 $859.45 / $1,294.90 / $1,850.13	Professional		$859.45	$1,294.90	$1,850.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,317.20 / $4,058.70 / $4,058.70	Professional		$3,317.20	$4,058.70	$4,058.70