Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.03 / $539.03 / $539.03	Facility		$539.03	$539.03	$539.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.03 / $814.73 / $875.52	Professional		$539.03	$814.73	$875.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $682.85	Facility		$552.13	$552.13	$682.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.25 / $874.91 / $1,082.81	Professional		$866.25	$874.91	$1,082.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $1,943.25 / $3,720.55	Facility		$74.72	$1,943.25	$3,720.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.30 / $649.89 / $1,039.82	Professional		$465.30	$649.89	$1,039.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $131.36 / $152.94	Facility		$117.61	$131.36	$152.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $152.94 / $1,360.61	Professional		$117.61	$152.94	$1,360.61
United Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $569.16 / $930.59	Professional		$279.88	$569.16	$930.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,074.78 / $1,074.78 / $1,074.78	Professional		$1,074.78	$1,074.78	$1,074.78