Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.75 / $425.75 / $425.75	Facility		$425.75	$425.75	$425.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $565.39 / $686.66	Professional		$425.75	$565.39	$686.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $646.14	Facility		$429.00	$429.00	$646.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $810.00 / $1,012.50	Professional		$810.00	$810.00	$1,012.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $955.51 / $3,520.55	Facility		$69.84	$955.51	$3,520.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.12 / $371.69 / $594.70	Professional		$266.12	$371.69	$594.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $91.22 / $106.08	Facility		$86.22	$91.22	$106.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $108.06 / $943.74	Professional		$86.22	$108.06	$943.74
United Facility/Professional Professional Modifier Low / Median / High Price $167.37 / $273.79 / $532.23	Professional		$167.37	$273.79	$532.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $746.37 / $746.37 / $746.37	Professional		$746.37	$746.37	$746.37