Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.05 / $694.56 / $694.56	Professional		$541.05	$694.56	$694.56
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 $551.25 / $689.06 / $700.09	Professional		$551.25	$689.06	$700.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $789.73 / $1,482.50 / $4,109.93	Facility		$789.73	$1,482.50	$4,109.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.34 / $833.34 / $931.15	Professional		$423.34	$833.34	$931.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $126.30 / $126.30	Facility		$112.56	$126.30	$126.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $142.46 / $529.76	Professional		$126.30	$142.46	$529.76
United Facility/Professional Professional Modifier Low / Median / High Price $309.18 / $833.34 / $931.15	Professional		$309.18	$833.34	$931.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $441.10 / $441.10	Professional		$441.10	$441.10	$441.10