Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $3,135.99	Facility		$3,135.99	$3,135.99	$3,135.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.29 / $3,135.99 / $3,135.99	Professional		$652.29	$3,135.99	$3,135.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $937.01 / $4,484.47 / $5,613.42	Facility		$937.01	$4,484.47	$5,613.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,402.65 / $6,402.65 / $6,402.65	Facility		$6,402.65	$6,402.65	$6,402.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,814.10 / $6,402.65 / $7,964.97	Professional		$5,814.10	$6,402.65	$7,964.97
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 $5,691.70 / $6,963.90 / $6,963.90	Professional		$5,691.70	$6,963.90	$6,963.90