Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $186.13	Facility		$186.13	$186.13	$186.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $186.13 / $186.13	Professional		$166.55	$186.13	$186.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.87 / $405.91 / $507.39	Professional		$368.87	$405.91	$507.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.30 / $281.47 / $479.55	Facility		$218.30	$281.47	$479.55
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 / $453.77 / $614.22	Facility		$207.12	$453.77	$614.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $394.70 / $475.59	Professional		$313.08	$394.70	$475.59
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 $219.10 / $406.66 / $515.05	Professional		$219.10	$406.66	$515.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $135.50	Professional		$135.50	$135.50	$135.50