Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.57 / $874.57 / $874.57	Facility		$874.57	$874.57	$874.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.57 / $1,150.86 / $1,415.04	Professional		$874.57	$1,150.86	$1,415.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $1,239.98	Facility		$881.10	$881.10	$1,239.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,636.20 / $2,025.00	Professional		$1,620.00	$1,636.20	$2,025.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.79 / $2,470.37 / $6,756.10	Facility		$139.79	$2,470.37	$6,756.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $666.46 / $964.28 / $1,489.34	Professional		$666.46	$964.28	$1,489.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.09 / $185.64 / $215.97	Facility		$168.09	$185.64	$215.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $215.97 / $1,921.35	Professional		$168.09	$215.97	$1,921.35
United Facility/Professional Professional Modifier Low / Median / High Price $601.66 / $1,012.20 / $1,489.34	Professional		$601.66	$1,012.20	$1,489.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,518.84 / $1,518.84 / $1,518.84	Professional		$1,518.84	$1,518.84	$1,518.84