Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.59 / $507.59 / $507.59	Facility		$507.59	$507.59	$507.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.16 / $616.84 / $781.53	Professional		$385.16	$616.84	$781.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $712.09	Facility		$356.59	$356.59	$712.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.50 / $871.13 / $1,078.13	Professional		$862.50	$871.13	$1,078.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $1,690.14 / $3,879.83	Facility		$74.34	$1,690.14	$3,879.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $348.12 / $486.22 / $777.95	Professional		$348.12	$486.22	$777.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $109.23 / $127.09	Facility		$108.48	$109.23	$127.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $136.13 / $1,130.61	Professional		$108.48	$136.13	$1,130.61
United Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $602.69 / $777.95	Professional		$306.58	$602.69	$777.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $893.70 / $893.70 / $893.70	Professional		$893.70	$893.70	$893.70