Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.78 / $919.78 / $919.78	Facility		$919.78	$919.78	$919.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.78 / $919.78 / $1,182.39	Professional		$919.78	$919.78	$1,182.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $899.91 / $1,113.75	Professional		$891.00	$899.91	$1,113.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.60 / $1,480.42 / $1,998.24	Facility		$142.60	$1,480.42	$1,998.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.42 / $812.88 / $1,437.37	Professional		$319.42	$812.88	$1,437.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $142.60 / $163.11	Facility		$129.88	$142.60	$163.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $134.75 / $247.91	Professional		$129.88	$134.75	$247.91
United Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $812.88 / $1,544.48	Professional		$285.77	$812.88	$1,544.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,213.23 / $1,213.23 / $1,213.23	Professional		$1,213.23	$1,213.23	$1,213.23