Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $4,677.35	Professional		$3,715.35	$4,265.80	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,943.28 / $9,772.37	Professional		$4,786.30	$7,943.28	$9,772.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $9,549.93	Facility		$4,897.79	$5,370.32	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,918.31 / $30,199.52	Professional		$3,981.07	$6,918.31	$30,199.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,943.28 / $9,549.93	Professional		$4,786.30	$7,943.28	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
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 $4,073.80 / $6,309.57 / $10,715.19	Professional		$4,073.80	$6,309.57	$10,715.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37