Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,884.03	Professional		$1,819.70	$2,238.72	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,630.27	Facility		$1,412.54	$1,412.54	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,466.84	Professional		$3,548.13	$3,548.13	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,630.78 / $13,803.84	Facility		$309.03	$3,630.78	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,344.23	Professional		$1,047.13	$1,412.54	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,884.03	Professional		$2,137.96	$2,570.40	$2,884.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $3,090.30	Professional		$1,047.13	$1,445.44	$3,090.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38