Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.67 / $967.67 / $967.67	Facility		$967.67	$967.67	$967.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.30 / $967.67 / $1,131.53	Professional		$814.30	$967.67	$1,131.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,586.62 / $1,868.63 / $2,312.67	Professional		$1,586.62	$1,868.63	$2,312.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $816.19 / $1,167.15 / $2,009.07	Facility		$816.19	$1,167.15	$2,009.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $959.62 / $1,891.51 / $5,795.70	Professional		$959.62	$1,891.51	$5,795.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,612.74 / $2,228.28 / $2,374.48	Facility		$1,612.74	$2,228.28	$2,374.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $867.11 / $2,346.91 / $2,374.48	Professional		$867.11	$2,346.91	$2,374.48
United Facility/Professional Professional Modifier Low / Median / High Price $934.17 / $1,607.79 / $1,996.78	Professional		$934.17	$1,607.79	$1,996.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $530.60 / $530.60 / $530.60	Professional		$530.60	$530.60	$530.60