Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,696.25 / $2,696.25 / $2,696.25	Facility		$2,696.25	$2,696.25	$2,696.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,696.25 / $2,867.68 / $3,486.00	Professional		$2,696.25	$2,867.68	$3,486.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $5,917.35	Professional		$3,384.12	$3,384.12	$5,917.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,100.78 / $4,846.38 / $7,857.44	Facility		$4,100.78	$4,846.38	$7,857.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,990.00 / $4,200.00 / $4,620.00	Professional		$3,990.00	$4,200.00	$4,620.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,197.03 / $5,971.32 / $6,805.94	Facility		$1,197.03	$5,971.32	$6,805.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,971.32 / $6,113.65 / $10,094.31	Professional		$5,971.32	$6,113.65	$10,094.31
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,620.00	Professional		$4,200.00	$4,200.00	$4,620.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $798.02 / $798.02 / $798.02	Professional		$798.02	$798.02	$798.02