Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.23 / $781.23 / $781.23	Facility		$781.23	$781.23	$781.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.80 / $768.00 / $781.23	Professional		$646.80	$768.00	$781.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.22 / $1,493.64 / $1,848.56	Professional		$1,268.22	$1,493.64	$1,848.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.94 / $942.28 / $1,621.99	Facility		$658.94	$942.28	$1,621.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $767.51 / $1,489.95 / $4,680.93	Professional		$767.51	$1,489.95	$4,680.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,404.02 / $1,767.99 / $1,884.07	Facility		$1,404.02	$1,767.99	$1,884.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $722.99 / $1,864.22 / $1,884.07	Professional		$722.99	$1,864.22	$1,884.07
United Facility/Professional Professional Modifier Low / Median / High Price $767.51 / $1,266.46 / $1,597.03	Professional		$767.51	$1,266.46	$1,597.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $530.60 / $530.60 / $530.60	Professional		$530.60	$530.60	$530.60