Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,365.16	Facility		$3,162.28	$3,162.28	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $7,585.78	Professional		$3,162.28	$3,162.28	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,585.78 / $12,882.50	Facility		$4,466.84	$7,585.78	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
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 $6,456.54 / $7,943.28 / $7,943.28	Professional		$6,456.54	$7,943.28	$7,943.28