Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.85 / $231.85 / $231.85	Facility		$231.85	$231.85	$231.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $231.85 / $234.04	Professional		$208.87	$231.85	$234.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.35 / $543.80 / $679.76	Professional		$395.35	$543.80	$679.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.74 / $417.74 / $2,000.00	Facility		$290.74	$417.74	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.59 / $403.92 / $4,385.00	Professional		$232.59	$403.92	$4,385.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $211.59 / $563.07 / $737.29	Facility		$211.59	$563.07	$737.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $319.86 / $492.98 / $737.29	Professional		$319.86	$492.98	$737.29
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 $219.97 / $403.92 / $628.32	Professional		$219.97	$403.92	$628.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,384.60 / $4,141.10 / $4,141.10	Professional		$3,384.60	$4,141.10	$4,141.10