Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,602.34 / $4,842.53 / $4,842.53	Professional		$3,602.34	$4,842.53	$4,842.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,248.38 / $3,248.38 / $5,087.57	Facility		$3,248.38	$3,248.38	$5,087.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,123.75 / $6,184.99 / $7,654.69	Professional		$6,123.75	$6,184.99	$7,654.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,192.85 / $9,870.41 / $27,719.97	Facility		$4,192.85	$9,870.41	$27,719.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,106.80 / $4,213.60 / $4,965.18	Professional		$2,106.80	$4,213.60	$4,965.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $576.84 / $581.35 / $581.35	Facility		$576.84	$581.35	$581.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $576.84 / $1,096.08 / $6,012.16	Professional		$576.84	$1,096.08	$6,012.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,051.19 / $3,028.97 / $6,649.80	Professional		$2,051.19	$3,028.97	$6,649.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,756.50 / $4,756.50 / $4,756.50	Professional		$4,756.50	$4,756.50	$4,756.50