Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $5,888.44	Professional		$2,884.03	$3,801.89	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $4,073.80	Facility		$199.53	$199.53	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $8,128.31	Professional		$6,456.54	$6,456.54	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,511.38 / $21,379.62	Facility		$5,370.32	$8,511.38	$21,379.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $5,128.61	Professional		$2,570.40	$2,630.27	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,365.16 / $7,079.46	Professional		$3,981.07	$4,365.16	$7,079.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $5,754.40	Professional		$1,621.81	$3,090.30	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83