Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $11,002.56	Professional		$1,908.26	$1,908.26	$11,002.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,210.45 / $18,594.33 / $30,147.01	Facility		$4,210.45	$18,594.33	$30,147.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.59 / $720.59 / $720.59	Professional		$720.59	$720.59	$720.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.59 / $720.59 / $720.59	Professional		$720.59	$720.59	$720.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00