Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.14 / $505.14 / $733.25	Facility		$505.14	$505.14	$733.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $493.48 / $642.20	Professional		$328.38	$493.48	$642.20
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 $200.00 / $551.25 / $689.06	Professional		$200.00	$551.25	$689.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $1,215.39 / $4,109.93	Facility		$112.56	$1,215.39	$4,109.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $395.18 / $544.70 / $1,248.95	Professional		$395.18	$544.70	$1,248.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $126.30 / $194.08	Facility		$112.56	$126.30	$194.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $131.97 / $194.08	Professional		$126.30	$131.97	$194.08
United Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $507.52 / $1,248.95	Professional		$451.00	$507.52	$1,248.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $348.47 / $441.10 / $441.10	Professional		$348.47	$441.10	$441.10