Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,160.28 / $2,917.67 / $2,917.67	Professional		$2,160.28	$2,917.67	$2,917.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $3,476.21	Facility		$1,786.79	$1,786.79	$3,476.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,663.75 / $3,700.39 / $4,579.68	Professional		$3,663.75	$3,700.39	$4,579.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,159.58 / $4,137.45 / $14,043.28	Facility		$2,159.58	$4,137.45	$14,043.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.97 / $2,233.48 / $2,627.63	Professional		$1,258.97	$2,233.48	$2,627.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $341.89 / $341.89	Facility		$284.27	$341.89	$341.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $653.32 / $3,612.48	Professional		$340.89	$653.32	$3,612.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,049.28 / $2,233.48 / $2,627.63	Professional		$1,049.28	$2,233.48	$2,627.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,844.17 / $2,844.17 / $2,844.17	Professional		$2,844.17	$2,844.17	$2,844.17