Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.86 / $3,201.66 / $4,220.96	Professional		$1,596.86	$3,201.66	$4,220.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,244.00 / $2,244.00 / $4,532.07	Facility		$2,244.00	$2,244.00	$4,532.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,231.25 / $5,283.56 / $6,539.06	Professional		$5,231.25	$5,283.56	$6,539.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,870.05 / $8,772.54 / $24,693.27	Facility		$3,870.05	$8,772.54	$24,693.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,944.45 / $3,772.30 / $4,428.59	Professional		$1,944.45	$3,772.30	$4,428.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.74 / $516.64 / $516.64	Facility		$512.74	$516.64	$516.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $974.58 / $5,343.93	Professional		$512.74	$974.58	$5,343.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.44 / $3,248.24 / $4,428.59	Professional		$1,752.44	$3,248.24	$4,428.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,227.03 / $4,227.03 / $4,227.03	Professional		$4,227.03	$4,227.03	$4,227.03