Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $1,652.17	Facility		$1,652.17	$1,652.17	$1,652.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $6,088.24	Professional		$1,652.17	$1,652.17	$6,088.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.38 / $557.20 / $4,036.35	Professional		$520.38	$557.20	$4,036.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,780.60 / $5,030.62 / $12,176.48	Facility		$2,780.60	$5,030.62	$12,176.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,036.35 / $4,036.35 / $4,036.35	Facility		$4,036.35	$4,036.35	$4,036.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,665.31 / $4,036.35 / $5,030.95	Professional		$3,665.31	$4,036.35	$5,030.95
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,595.10 / $4,398.70 / $4,398.70	Professional		$3,595.10	$4,398.70	$4,398.70