Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.26 / $2,387.26 / $2,387.26	Facility		$2,387.26	$2,387.26	$2,387.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,387.26 / $3,675.62 / $3,765.72	Professional		$2,387.26	$3,675.62	$3,765.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,360.51 / $3,360.51 / $3,360.51	Facility		$3,360.51	$3,360.51	$3,360.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,910.00 / $2,939.10 / $3,637.50	Professional		$2,910.00	$2,939.10	$3,637.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.86 / $6,364.07 / $10,318.07	Facility		$250.86	$6,364.07	$10,318.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $205.41 / $2,055.40	Professional		$102.71	$205.41	$2,055.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $603.66 / $606.79 / $707.22	Facility		$603.66	$606.79	$707.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $603.66 / $759.79 / $6,291.64	Professional		$603.66	$759.79	$6,291.64
United Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $271.99 / $2,055.40	Professional		$102.71	$271.99	$2,055.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,964.67 / $4,964.67 / $4,964.67	Professional		$4,964.67	$4,964.67	$4,964.67