Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.20 / $533.20 / $773.99	Facility		$533.20	$533.20	$773.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.63 / $520.90 / $677.88	Professional		$346.63	$520.90	$677.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.59 / $847.50 / $1,059.38	Professional		$359.59	$847.50	$1,059.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.24 / $1,239.02 / $4,338.29	Facility		$131.24	$1,239.02	$4,338.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.50 / $574.96 / $1,369.13	Professional		$452.50	$574.96	$1,369.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.20 / $121.39 / $186.55	Facility		$108.20	$121.39	$186.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $126.86 / $186.55	Professional		$121.39	$126.86	$186.55
United Facility/Professional Professional Modifier Low / Median / High Price $476.06 / $605.21 / $1,318.32	Professional		$476.06	$605.21	$1,318.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $900.60 / $1,140.00 / $1,140.00	Professional		$900.60	$1,140.00	$1,140.00