Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,484.42 / $3,484.42 / $3,484.42	Facility		$3,484.42	$3,484.42	$3,484.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,484.42 / $3,484.42 / $3,575.01	Professional		$3,484.42	$3,484.42	$3,575.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,243.88 / $4,286.31 / $5,304.84	Professional		$4,243.88	$4,286.31	$5,304.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $4,982.72 / $6,041.77	Facility		$695.41	$4,982.72	$6,041.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,217.56 / $3,500.20 / $6,125.34	Professional		$1,217.56	$3,500.20	$6,125.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $635.60 / $695.41 / $804.84	Facility		$635.60	$695.41	$804.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $635.60 / $660.27 / $1,220.23	Professional		$635.60	$660.27	$1,220.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.56 / $3,500.20 / $5,833.66	Professional		$1,217.56	$3,500.20	$5,833.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,294.73 / $3,294.73 / $3,294.73	Professional		$3,294.73	$3,294.73	$3,294.73