Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,300.00 / $1,300.00	Professional		$1,105.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,826.88	Professional		$1,066.90	$1,066.90	$1,826.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,487.20 / $1,977.30 / $3,205.80	Facility		$1,487.20	$1,977.30	$3,205.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,358.50	Professional		$1,235.00	$1,235.00	$1,358.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,214.27 / $1,862.88 / $2,101.21	Facility		$1,214.27	$1,862.88	$2,101.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.88 / $1,887.47 / $3,116.44	Professional		$1,862.88	$1,887.47	$3,116.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,358.50	Professional		$1,235.00	$1,235.00	$1,358.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $809.51 / $809.51 / $809.51	Professional		$809.51	$809.51	$809.51