Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.47 / $468.47 / $468.47	Facility		$468.47	$468.47	$468.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.47 / $617.89 / $743.41	Professional		$468.47	$617.89	$743.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $474.94	Facility		$370.80	$370.80	$474.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.50 / $862.50 / $1,078.13	Professional		$862.50	$862.50	$1,078.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $1,268.79 / $2,587.75	Facility		$74.34	$1,268.79	$2,587.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.31 / $418.05 / $668.89	Professional		$299.31	$418.05	$668.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $99.68 / $115.95	Facility		$96.33	$99.68	$115.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $120.77 / $1,031.54	Professional		$96.33	$120.77	$1,031.54
United Facility/Professional Professional Modifier Low / Median / High Price $263.82 / $472.91 / $624.24	Professional		$263.82	$472.91	$624.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $815.58 / $815.58 / $815.58	Professional		$815.58	$815.58	$815.58