Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,518.24 / $1,518.24 / $1,518.24	Facility		$1,518.24	$1,518.24	$1,518.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.24 / $1,658.44 / $2,337.60	Professional		$1,518.24	$1,658.44	$2,337.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $211.75 / $2,171.98	Facility		$144.19	$211.75	$2,171.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.25 / $2,951.25 / $3,689.06	Professional		$2,951.25	$2,951.25	$3,689.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.73 / $2,802.76 / $11,834.20	Facility		$201.73	$2,802.76	$11,834.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $752.41 / $1,050.89 / $1,681.42	Professional		$752.41	$1,050.89	$1,681.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $279.06 / $279.87 / $326.93	Facility		$279.06	$279.87	$326.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $279.06 / $351.64 / $2,908.45	Professional		$279.06	$351.64	$2,908.45
United Facility/Professional Professional Modifier Low / Median / High Price $513.55 / $1,237.98 / $1,681.42	Professional		$513.55	$1,237.98	$1,681.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,289.87 / $2,289.87 / $2,289.87	Professional		$2,289.87	$2,289.87	$2,289.87