Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,338.00 / $4,338.00 / $6,849.00	Facility		$4,338.00	$4,338.00	$6,849.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,852.00 / $12,852.00 / $12,852.00	Professional		$12,852.00	$12,852.00	$12,852.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.97 / $477.10 / $773.53	Facility		$275.97	$477.10	$773.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.98 / $582.21 / $1,858.31	Professional		$346.98	$582.21	$1,858.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $492.22 / $678.43 / $746.05	Facility		$492.22	$678.43	$746.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $542.77 / $678.43 / $2,398.38	Professional		$542.77	$678.43	$2,398.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.22 / $555.39 / $647.96	Professional		$362.22	$555.39	$647.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,776.20 / $2,089.69 / $2,173.30	Professional		$1,776.20	$2,089.69	$2,173.30