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 $3,135.99 / $3,135.99 / $7,549.01	Professional		$3,135.99	$3,135.99	$7,549.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,277.87 / $7,549.01 / $15,098.02	Facility		$5,277.87	$7,549.01	$15,098.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,203.06 / $7,203.06 / $7,203.06	Facility		$7,203.06	$7,203.06	$7,203.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,540.94 / $7,203.06 / $8,983.41	Professional		$6,540.94	$7,203.06	$8,983.41
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 $6,419.40 / $7,854.40 / $7,854.40	Professional		$6,419.40	$7,854.40	$7,854.40