Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $4,365.16	Facility		$338.84	$338.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $691.83	Professional		$338.84	$371.54	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $724.44 / $1,122.02	Professional		$288.40	$724.44	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $1,659.59	Facility		$302.00	$562.34	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $3,467.37	Professional		$331.13	$524.81	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $870.96	Professional		$776.25	$794.33	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
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
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $954.99	Professional		$354.81	$524.81	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $2,511.89	Professional		$2,089.30	$2,511.89	$2,511.89