Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.19 / $528.19 / $528.19	Facility		$528.19	$528.19	$528.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.74 / $800.94 / $866.31	Professional		$501.74	$800.94	$866.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $682.85	Facility		$545.00	$545.00	$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 / $1,800.96 / $3,720.55	Facility		$74.72	$1,800.96	$3,720.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $453.46 / $633.34 / $1,013.34	Professional		$453.46	$633.34	$1,013.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $129.13 / $150.35	Facility		$115.72	$129.13	$150.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $150.35 / $1,337.55	Professional		$115.72	$150.35	$1,337.55
United Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $633.34 / $906.91	Professional		$279.88	$633.34	$906.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,056.59 / $1,056.59 / $1,056.59	Professional		$1,056.59	$1,056.59	$1,056.59