Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,365.16	Facility		$1,659.59	$1,659.59	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $6,025.60	Professional		$1,659.59	$1,659.59	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $4,073.80	Professional		$537.03	$562.34	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $10,232.93	Facility		$2,344.23	$4,570.88	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $4,365.16	Professional		$3,630.78	$4,365.16	$4,365.16