Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,899.77 / $1,899.77 / $1,899.77	Facility		$1,899.77	$1,899.77	$1,899.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,899.77 / $2,226.84 / $2,925.04	Professional		$1,899.77	$2,226.84	$2,925.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $3,128.37	Facility		$1,950.00	$1,950.00	$3,128.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,611.25 / $3,611.25 / $4,514.06	Professional		$3,611.25	$3,611.25	$4,514.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.50 / $3,763.36 / $17,045.09	Facility		$311.50	$3,763.36	$17,045.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,010.99 / $1,576.78 / $2,270.90	Professional		$1,010.99	$1,576.78	$2,270.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $356.63 / $359.33 / $417.81	Facility		$356.63	$359.33	$417.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $446.95 / $3,716.95	Professional		$356.63	$446.95	$3,716.95
United Facility/Professional Professional Modifier Low / Median / High Price $770.67 / $1,872.22 / $2,259.28	Professional		$770.67	$1,872.22	$2,259.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,939.94 / $2,939.94 / $2,939.94	Professional		$2,939.94	$2,939.94	$2,939.94