Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.20 / $1,329.09 / $1,329.09	Professional		$907.20	$1,329.09	$1,329.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $1,185.40	Facility		$200.00	$200.00	$1,185.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.75 / $1,590.00 / $1,987.50	Professional		$1,493.75	$1,590.00	$1,987.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.71 / $1,585.85 / $6,458.74	Facility		$132.71	$1,585.85	$6,458.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.37 / $974.74 / $1,084.33	Professional		$487.37	$974.74	$1,084.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $158.35 / $158.35	Facility		$131.66	$158.35	$158.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $302.58 / $1,645.60	Professional		$157.88	$302.58	$1,645.60
United Facility/Professional Professional Modifier Low / Median / High Price $485.86 / $974.74 / $1,180.32	Professional		$485.86	$974.74	$1,180.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,295.55 / $1,295.55 / $1,295.55	Professional		$1,295.55	$1,295.55	$1,295.55