Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.36 / $496.36 / $496.36	Facility		$496.36	$496.36	$496.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.36 / $496.36 / $496.36	Professional		$460.36	$496.36	$496.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,537.46 / $2,792.29 / $3,490.37	Professional		$2,537.46	$2,792.29	$3,490.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $713.33 / $1,047.58 / $1,518.55	Facility		$713.33	$1,047.58	$1,518.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,100.24 / $1,674.63 / $5,976.81	Professional		$1,100.24	$1,674.63	$5,976.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $1,461.41 / $3,079.87	Facility		$988.00	$1,461.41	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,009.96 / $1,227.80 / $1,461.41	Professional		$1,009.96	$1,227.80	$1,461.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.24 / $1,559.15 / $2,576.36	Professional		$1,100.24	$1,559.15	$2,576.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $554.29 / $554.29 / $554.29	Professional		$554.29	$554.29	$554.29