Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.18 / $2,259.81 / $3,052.11	Professional		$932.18	$2,259.81	$3,052.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,468.80 / $1,468.80 / $2,722.29	Facility		$1,468.80	$1,468.80	$2,722.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,430.08 / $3,832.50 / $4,790.63	Professional		$3,430.08	$3,832.50	$4,790.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $6,191.88 / $14,832.59	Facility		$330.58	$6,191.88	$14,832.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,137.28 / $2,238.73 / $2,490.26	Professional		$1,137.28	$2,238.73	$2,490.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $302.36 / $363.64 / $363.64	Facility		$302.36	$363.64	$363.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $362.57 / $694.90 / $3,778.92	Professional		$362.57	$694.90	$3,778.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.80 / $2,238.73 / $2,490.26	Professional		$1,115.80	$2,238.73	$2,490.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,975.22 / $2,975.22 / $2,975.22	Professional		$2,975.22	$2,975.22	$2,975.22