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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.30 / $603.91 / $744.14	Professional		$595.30	$603.91	$744.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.99 / $433.70 / $703.17	Facility		$245.99	$433.70	$703.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $525.47 / $1,676.82	Professional		$313.14	$525.47	$1,676.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $443.71 / $612.28 / $673.32	Facility		$443.71	$612.28	$673.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $493.25 / $612.28 / $2,454.83	Professional		$493.25	$612.28	$2,454.83
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 $313.14 / $500.99 / $584.49	Professional		$313.14	$500.99	$584.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,814.30 / $2,134.40 / $2,219.80	Professional		$1,814.30	$2,134.40	$2,219.80