Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,137.96	Professional		$1,348.96	$1,698.24	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $1,949.84	Facility		$169.82	$169.82	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,311.31	Professional		$2,691.53	$2,691.53	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,691.53 / $10,471.29	Facility		$229.09	$2,691.53	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,737.80	Professional		$776.25	$1,071.52	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,137.96	Professional		$1,584.89	$1,905.46	$2,137.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,344.23	Professional		$776.25	$1,096.48	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30