Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,968.56 / $3,968.56 / $3,968.56	Facility		$3,968.56	$3,968.56	$3,968.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,036.25 / $5,357.52 / $6,110.32	Professional		$3,036.25	$5,357.52	$6,110.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $422.50 / $5,376.36	Facility		$422.50	$422.50	$5,376.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,708.75 / $6,775.84 / $8,385.94	Professional		$6,708.75	$6,775.84	$8,385.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $578.67 / $9,054.20 / $29,293.49	Facility		$578.67	$9,054.20	$29,293.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,744.59 / $3,833.39 / $6,133.42	Professional		$2,744.59	$3,833.39	$6,133.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $858.21 / $864.16 / $1,005.45	Facility		$858.21	$864.16	$1,005.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $858.21 / $1,076.88 / $8,944.74	Professional		$858.21	$1,076.88	$8,944.74
United Facility/Professional Professional Modifier Low / Median / High Price $2,203.63 / $3,833.39 / $7,066.42	Professional		$2,203.63	$3,833.39	$7,066.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,070.40 / $7,070.40 / $7,070.40	Professional		$7,070.40	$7,070.40	$7,070.40