Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,230.27	Professional		$616.60	$794.33	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,288.25	Facility		$776.25	$776.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,778.28	Professional		$1,412.54	$1,412.54	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $6,760.83	Facility		$1,047.13	$1,698.24	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $1,230.27	Professional		$501.19	$512.86	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,380.38	Professional		$1,023.29	$1,230.27	$1,380.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $1,288.25	Professional		$380.19	$691.83	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26