Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $4,365.16	Facility		$741.31	$741.31	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,023.29	Professional		$489.78	$758.58	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $4,265.80	Professional		$2,398.83	$3,388.44	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $3,090.30	Facility		$660.69	$1,000.00	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $5,888.44	Professional		$724.44	$1,288.25	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $3,311.31	Professional		$1,819.70	$1,949.84	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,862.09	Professional		$776.25	$1,288.25	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $4,073.80	Professional		$3,311.31	$4,073.80	$4,073.80