Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Facility		$1,875.00	$1,875.00	$1,875.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $5,548.78	Professional		$1,875.00	$1,875.00	$5,548.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.38 / $557.20 / $2,733.43	Professional		$520.38	$557.20	$2,733.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,155.63 / $3,750.00 / $11,097.56	Facility		$3,155.63	$3,750.00	$11,097.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,733.43 / $2,733.43 / $2,733.43	Facility		$2,733.43	$2,733.43	$2,733.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,482.16 / $2,733.43 / $2,906.40	Professional		$2,482.16	$2,733.43	$2,906.40
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 $1,914.70 / $1,914.70 / $1,914.70	Professional		$1,914.70	$1,914.70	$1,914.70