Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $4,365.16	Facility		$426.58	$426.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $2,290.87	Professional		$426.58	$501.19	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,513.56	Professional		$870.96	$1,202.26	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $691.83 / $4,677.35	Facility		$363.08	$691.83	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $16,595.87	Professional		$398.11	$676.08	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,348.96	Professional		$1,023.29	$1,174.90	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
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 $436.52 / $645.65 / $1,023.29	Professional		$436.52	$645.65	$1,023.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $5,011.87	Professional		$4,168.69	$5,011.87	$5,011.87