Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $785.65 / $785.65	Facility		$785.65	$785.65	$785.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.65 / $1,046.84 / $1,620.00	Professional		$785.65	$1,046.84	$1,620.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.74 / $1,047.74 / $1,047.74	Facility		$1,047.74	$1,047.74	$1,047.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.58 / $1,047.74 / $1,309.68	Professional		$828.58	$1,047.74	$1,309.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $845.00 / $1,370.00	Facility		$715.00	$845.00	$1,370.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,742.97 / $2,742.97 / $2,742.97	Facility		$2,742.97	$2,742.97	$2,742.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,801.49 / $1,801.49 / $1,801.49	Professional		$1,801.49	$1,801.49	$1,801.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00