Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.65 / $729.65 / $1,059.14	Facility		$729.65	$729.65	$1,059.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.33 / $712.81 / $927.63	Professional		$474.33	$712.81	$927.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $1,233.75 / $1,542.19	Professional		$360.90	$1,233.75	$1,542.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.94 / $1,812.90 / $5,936.57	Facility		$176.94	$1,812.90	$5,936.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $619.22 / $786.79 / $1,804.02	Professional		$619.22	$786.79	$1,804.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $176.94 / $271.87	Facility		$157.69	$176.94	$271.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.94 / $184.87 / $271.87	Professional		$176.94	$184.87	$271.87
United Facility/Professional Professional Modifier Low / Median / High Price $657.80 / $726.27 / $1,804.02	Professional		$657.80	$726.27	$1,804.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $770.25 / $975.00 / $975.00	Professional		$770.25	$975.00	$975.00