Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,226.61 / $2,226.61 / $2,226.61	Facility		$2,226.61	$2,226.61	$2,226.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,226.61 / $3,364.06 / $3,428.27	Professional		$2,226.61	$3,364.06	$3,428.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,910.00 / $3,637.50 / $3,637.50	Professional		$2,910.00	$3,637.50	$3,637.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.86 / $5,685.26 / $9,481.87	Facility		$250.86	$5,685.26	$9,481.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $205.41 / $3,859.10	Professional		$102.71	$205.41	$3,859.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $544.88 / $547.84 / $638.36	Facility		$544.88	$547.84	$638.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $544.88 / $685.52 / $5,679.01	Professional		$544.88	$685.52	$5,679.01
United Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $304.97 / $2,287.30	Professional		$128.71	$304.97	$2,287.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,482.35 / $4,482.35 / $4,482.35	Professional		$4,482.35	$4,482.35	$4,482.35