Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.36 / $583.36 / $2,290.00	Facility		$583.36	$583.36	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.59 / $583.36 / $849.56	Professional		$495.59	$583.36	$849.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.28 / $620.94 / $776.18	Professional		$564.28	$620.94	$776.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.92 / $924.67 / $1,571.50	Facility		$711.92	$924.67	$1,571.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.08 / $367.44 / $4,441.28	Professional		$205.08	$367.44	$4,441.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $402.28 / $1,163.47 / $1,862.51	Facility		$402.28	$1,163.47	$1,862.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $402.28 / $728.87 / $1,337.59	Professional		$402.28	$728.87	$1,337.59
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 $241.05 / $408.95 / $488.77	Professional		$241.05	$408.95	$488.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $556.10 / $556.10 / $556.10	Professional		$556.10	$556.10	$556.10