Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.99 / $1,108.99 / $1,108.99	Facility		$1,108.99	$1,108.99	$1,108.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.48 / $1,431.57 / $1,784.22	Professional		$787.48	$1,431.57	$1,784.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.20 / $1,459.20 / $1,799.38	Facility		$1,459.20	$1,459.20	$1,799.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,077.50 / $2,098.28 / $2,596.88	Professional		$2,077.50	$2,098.28	$2,596.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.17 / $2,579.05 / $9,804.04	Facility		$179.17	$2,579.05	$9,804.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $711.85 / $1,030.46 / $1,590.80	Professional		$711.85	$1,030.46	$1,590.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $221.31 / $230.93 / $268.64	Facility		$221.31	$230.93	$268.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.31 / $277.52 / $2,389.98	Professional		$221.31	$277.52	$2,389.98
United Facility/Professional Professional Modifier Low / Median / High Price $543.12 / $1,030.46 / $1,741.62	Professional		$543.12	$1,030.46	$1,741.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,889.46 / $1,889.46 / $1,889.46	Professional		$1,889.46	$1,889.46	$1,889.46