Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $542.92 / $542.92	Facility		$542.92	$542.92	$542.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.51 / $840.49 / $892.98	Professional		$539.51	$840.49	$892.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.85 / $682.85 / $695.55	Facility		$682.85	$682.85	$695.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.25 / $874.91 / $1,082.81	Professional		$866.25	$874.91	$1,082.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $2,003.18 / $3,720.55	Facility		$74.72	$2,003.18	$3,720.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.73 / $681.21 / $1,089.94	Professional		$487.73	$681.21	$1,089.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.10 / $135.51 / $157.79	Facility		$121.10	$135.51	$157.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $157.79 / $1,403.72	Professional		$121.10	$157.79	$1,403.72
United Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $596.96 / $975.45	Professional		$279.88	$596.96	$975.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,108.71 / $1,108.71 / $1,108.71	Professional		$1,108.71	$1,108.71	$1,108.71