Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.62 / $931.21 / $1,247.03	Professional		$450.62	$931.21	$1,247.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $1,304.94	Facility		$833.40	$833.40	$1,304.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.25 / $1,586.96 / $1,964.06	Professional		$1,571.25	$1,586.96	$1,964.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,092.09 / $2,551.52 / $7,110.09	Facility		$1,092.09	$2,551.52	$7,110.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.75 / $1,097.50 / $1,284.42	Professional		$548.75	$1,097.50	$1,284.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.12 / $150.28 / $150.28	Facility		$149.12	$150.28	$150.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $283.38 / $1,554.21	Professional		$149.12	$283.38	$1,554.21
United Facility/Professional Professional Modifier Low / Median / High Price $526.16 / $1,114.30 / $1,715.16	Professional		$526.16	$1,114.30	$1,715.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,229.58 / $1,229.58 / $1,229.58	Professional		$1,229.58	$1,229.58	$1,229.58