Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,548.82	Professional		$776.25	$1,023.29	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,621.81	Facility		$1,000.00	$1,000.00	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,238.72	Professional		$1,819.70	$1,819.70	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $8,511.38	Facility		$1,318.26	$2,137.96	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $1,548.82	Professional		$630.96	$660.69	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,737.80	Professional		$1,288.25	$1,548.82	$1,737.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $1,621.81	Professional		$478.63	$891.25	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59