Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.87 / $206.87 / $206.87	Facility		$206.87	$206.87	$206.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $206.87 / $257.45	Professional		$184.91	$206.87	$257.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.29 / $690.28 / $862.85	Professional		$627.29	$690.28	$862.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.30 / $312.50 / $976.14	Facility		$218.30	$312.50	$976.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.84 / $365.16 / $5,262.26	Professional		$200.84	$365.16	$5,262.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.12 / $461.34 / $642.38	Facility		$207.12	$461.34	$642.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $413.21 / $545.25	Professional		$313.08	$413.21	$545.25
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 $214.78 / $331.11 / $515.05	Professional		$214.78	$331.11	$515.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $135.50	Professional		$135.50	$135.50	$135.50