Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,365.16	Facility		$1,862.09	$1,862.09	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $5,495.41	Professional		$1,862.09	$1,862.09	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $2,754.23	Professional		$537.03	$562.34	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $9,332.54	Facility		$2,691.53	$3,715.35	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46