Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.93 / $913.93 / $913.93	Facility		$913.93	$913.93	$913.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $913.93 / $913.93	Professional		$776.84	$913.93	$913.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $913.93 / $1,390.09 / $2,253.76	Facility		$913.93	$1,390.09	$2,253.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $837.77	Professional		$761.61	$761.61	$837.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,302.34 / $1,302.34 / $1,519.40	Facility		$1,302.34	$1,302.34	$1,519.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $947.95 / $947.95 / $947.95	Professional		$947.95	$947.95	$947.95
United Facility/Professional Professional Modifier Low / Median / High Price $647.37 / $761.61 / $837.77	Professional		$647.37	$761.61	$837.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $372.17 / $372.17 / $372.17	Professional		$372.17	$372.17	$372.17