Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $594.36 / $594.36	Professional		$463.00	$594.36	$594.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.25 / $857.81 / $871.54	Professional		$686.25	$857.81	$871.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.80 / $1,268.61 / $3,516.99	Facility		$675.80	$1,268.61	$3,516.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.55 / $713.11 / $796.80	Professional		$358.55	$713.11	$796.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $98.52 / $98.52	Facility		$87.83	$98.52	$98.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $98.52 / $111.14	Professional		$66.05	$98.52	$111.14
United Facility/Professional Professional Modifier Low / Median / High Price $264.57 / $498.00 / $796.80	Professional		$264.57	$498.00	$796.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00