Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.02 / $430.02 / $430.02	Facility		$430.02	$430.02	$430.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.33 / $430.02 / $441.23	Professional		$406.33	$430.02	$441.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.26 / $1,176.44 / $1,470.55	Professional		$855.26	$1,176.44	$1,470.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $425.71 / $726.73 / $4,650.95	Facility		$425.71	$726.73	$4,650.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.56 / $707.17 / $16,500.00	Professional		$401.56	$707.17	$16,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $888.07 / $1,170.41 / $1,447.44	Facility		$888.07	$1,170.41	$1,447.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $888.07 / $1,170.41 / $1,447.44	Professional		$888.07	$1,170.41	$1,447.44
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
United Facility/Professional Professional Modifier Low / Median / High Price $421.97 / $702.72 / $957.04	Professional		$421.97	$702.72	$957.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,136.70 / $5,061.39 / $5,061.39	Professional		$4,136.70	$5,061.39	$5,061.39