Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $4,365.16	Facility		$446.68	$446.68	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $6,309.57	Professional		$446.68	$512.86	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,513.56	Professional		$851.14	$1,202.26	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $741.31 / $10,471.29	Facility		$416.87	$741.31	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $5,888.44	Professional		$457.09	$724.44	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,230.27	Professional		$1,000.00	$1,047.13	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
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 $467.74 / $691.83 / $1,348.96	Professional		$467.74	$691.83	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $4,897.79	Professional		$4,073.80	$4,897.79	$4,897.79