Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $1,987.50	Facility		$1,987.50	$1,987.50	$1,987.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $6,407.46	Professional		$1,987.50	$1,987.50	$6,407.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,044.52 / $4,146.37 / $5,182.96	Professional		$3,044.52	$4,146.37	$5,182.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,344.96 / $4,778.47 / $12,814.92	Facility		$3,344.96	$4,778.47	$12,814.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,755.51 / $7,755.51 / $7,755.51	Professional		$7,755.51	$7,755.51	$7,755.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,848.61 / $3,848.61 / $3,848.61	Facility		$3,848.61	$3,848.61	$3,848.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,494.82 / $3,848.61 / $4,779.93	Professional		$3,494.82	$3,848.61	$4,779.93
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 $3,415.40 / $4,178.80 / $4,178.80	Professional		$3,415.40	$4,178.80	$4,178.80