Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.41 / $633.41 / $633.41	Facility		$633.41	$633.41	$633.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.57 / $621.80 / $635.32	Professional		$577.57	$621.80	$635.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.13 / $1,349.84 / $1,670.60	Professional		$1,146.13	$1,349.84	$1,670.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.24 / $763.96 / $1,315.07	Facility		$534.24	$763.96	$1,315.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.19 / $1,080.70 / $3,792.87	Professional		$577.19	$1,080.70	$3,792.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,151.99 / $1,431.60 / $1,525.56	Facility		$1,151.99	$1,431.60	$1,525.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $619.71 / $1,448.94 / $1,525.56	Professional		$619.71	$1,448.94	$1,525.56
United Facility/Professional Professional Modifier Low / Median / High Price $577.19 / $926.32 / $1,235.09	Professional		$577.19	$926.32	$1,235.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $530.60 / $530.60 / $530.60	Professional		$530.60	$530.60	$530.60