Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,976.77 / $5,334.32 / $5,334.32	Professional		$3,976.77	$5,334.32	$5,334.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $3,282.89 / $5,591.74	Facility		$3,282.89	$3,282.89	$5,591.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,731.25 / $6,798.56 / $8,414.06	Professional		$6,731.25	$6,798.56	$8,414.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,649.02 / $10,896.35 / $30,467.00	Facility		$4,649.02	$10,896.35	$30,467.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,335.90 / $4,671.80 / $5,483.63	Professional		$2,335.90	$4,671.80	$5,483.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $636.82 / $641.78 / $641.78	Facility		$636.82	$641.78	$641.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $636.82 / $1,210.07 / $6,637.28	Professional		$636.82	$1,210.07	$6,637.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,254.56 / $3,427.27 / $5,483.63	Professional		$2,254.56	$3,427.27	$5,483.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,250.96 / $5,250.96 / $5,250.96	Professional		$5,250.96	$5,250.96	$5,250.96