Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $4,365.16	Facility		$2,344.23	$2,344.23	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $3,235.94	Professional		$1,318.26	$2,344.23	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $6,165.95	Professional		$3,548.13	$5,011.87	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $4,570.88	Facility		$1,548.82	$2,290.87	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $16,982.44	Professional		$2,089.30	$3,235.94	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,365.16 / $6,165.95	Professional		$4,073.80	$4,365.16	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
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 $1,862.09 / $3,090.30 / $6,165.95	Professional		$1,862.09	$3,090.30	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,715.35	Professional		$3,019.95	$3,715.35	$3,715.35