Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Facility		$791.70	$791.70	$791.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $1,166.83	Professional		$791.70	$791.70	$1,166.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,932.46 / $2,049.03 / $2,561.29	Professional		$1,932.46	$2,049.03	$2,561.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,332.43 / $1,676.15 / $3,197.11	Facility		$1,332.43	$1,676.15	$3,197.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,141.61 / $1,718.66 / $2,673.47	Professional		$1,141.61	$1,718.66	$2,673.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,657.00 / $2,714.23 / $3,371.18	Professional		$1,657.00	$2,714.23	$3,371.18
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 $1,141.61 / $1,842.14 / $2,673.47	Professional		$1,141.61	$1,842.14	$2,673.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,409.10 / $2,834.30 / $2,947.60	Professional		$2,409.10	$2,834.30	$2,947.60