Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.11 / $1,376.11 / $1,376.11	Facility		$1,376.11	$1,376.11	$1,376.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.56 / $1,820.00 / $2,118.77	Professional		$1,066.56	$1,820.00	$2,118.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,762.01 / $1,762.01 / $1,762.01	Facility		$1,762.01	$1,762.01	$1,762.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $2,333.10 / $2,887.50	Professional		$2,310.00	$2,333.10	$2,887.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.24 / $3,075.80 / $9,600.49	Facility		$199.24	$3,075.80	$9,600.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $964.15 / $1,346.64 / $2,154.62	Professional		$964.15	$1,346.64	$2,154.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.04 / $297.04 / $345.65	Facility		$295.04	$297.04	$345.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.04 / $370.30 / $3,075.01	Professional		$295.04	$370.30	$3,075.01
United Facility/Professional Professional Modifier Low / Median / High Price $722.20 / $1,346.64 / $2,154.62	Professional		$722.20	$1,346.64	$2,154.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,430.36 / $2,430.36 / $2,430.36	Professional		$2,430.36	$2,430.36	$2,430.36